U.S. patent number 9,867,612 [Application Number 14/248,587] was granted by the patent office on 2018-01-16 for powered surgical stapler.
This patent grant is currently assigned to Ethicon LLC. The grantee listed for this patent is Ethicon Endo-Surgery, Inc.. Invention is credited to Chester O. Baxter, III, Robert L. Koch, Jr., Shailendra K. Parihar, Frederick E. Shelton, IV.
United States Patent |
9,867,612 |
Parihar , et al. |
January 16, 2018 |
Powered surgical stapler
Abstract
A surgical instrument can comprise a handle, a motor, and a
shaft extending from the handle. The handle and/or the shaft can
define a longitudinal axis. The surgical instrument can further
comprise a fastener cartridge comprising a plurality of fasteners
removably stored therein, an anvil configured to deform the
fasteners, a closure drive configured to move the anvil toward and
away from the fastener cartridge which is rotatable about the
longitudinal axis, and a firing drive configured to deploy the
fasteners from the fastener cartridge which is rotatable about the
longitudinal axis. The surgical instrument can further comprise a
transmission comprising a first operating configuration which
connects the motor to the closure drive and a second operating
configuration which connects the motor to the firing drive.
Inventors: |
Parihar; Shailendra K. (Mason,
OH), Koch, Jr.; Robert L. (Cincinnati, OH), Baxter, III;
Chester O. (Loveland, OH), Shelton, IV; Frederick E.
(Hillsboro, OH) |
Applicant: |
Name |
City |
State |
Country |
Type |
Ethicon Endo-Surgery, Inc. |
Cincinnati |
OH |
US |
|
|
Assignee: |
Ethicon LLC (Guaynabo,
PR)
|
Family
ID: |
71995727 |
Appl.
No.: |
14/248,587 |
Filed: |
April 9, 2014 |
Prior Publication Data
|
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|
|
Document
Identifier |
Publication Date |
|
US 20140309665 A1 |
Oct 16, 2014 |
|
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
Issue Date |
|
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61812365 |
Apr 16, 2013 |
|
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|
61812376 |
Apr 16, 2013 |
|
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|
61812382 |
Apr 16, 2013 |
|
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|
61812385 |
Apr 16, 2013 |
|
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61812372 |
Apr 16, 2013 |
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|
Current U.S.
Class: |
1/1 |
Current CPC
Class: |
A61B
17/072 (20130101); A61B 17/115 (20130101); A61B
17/0686 (20130101); A61B 17/07207 (20130101); A61B
17/282 (20130101); A61B 17/068 (20130101); A61B
17/1155 (20130101); A61B 2017/2902 (20130101); A61B
34/30 (20160201); A61B 2017/07235 (20130101); A61B
2017/2932 (20130101); A61B 2017/2933 (20130101); A61B
2017/0688 (20130101); A61B 2017/2912 (20130101); A61B
2017/07214 (20130101); A61B 2017/00017 (20130101); A61B
2017/00199 (20130101); A61B 2017/00393 (20130101); A61B
2017/00115 (20130101); A61B 2017/07221 (20130101); A61B
2017/0023 (20130101); A61B 2017/00734 (20130101); A61B
2090/0811 (20160201); A61B 2017/2943 (20130101); A61B
2017/00398 (20130101); A61B 2017/0725 (20130101); A61B
2017/2903 (20130101); A61B 2017/0046 (20130101); A61B
2017/2923 (20130101); A61B 2017/2936 (20130101); A61B
2017/07242 (20130101); A61B 2090/038 (20160201); Y02A
90/10 (20180101); A61B 2017/00367 (20130101); A61B
2017/2922 (20130101); A61B 2017/00473 (20130101); A61B
2017/00464 (20130101); A61B 2017/2946 (20130101); A61B
2017/00477 (20130101) |
Current International
Class: |
A61B
17/072 (20060101); A61B 17/068 (20060101); A61B
17/115 (20060101); A61B 17/00 (20060101); A61B
17/29 (20060101); A61B 34/30 (20160101); A61B
90/00 (20160101) |
Field of
Search: |
;227/19,175.1,175.2,179.1,180.1 ;606/139,143,153,213,219 |
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December 2002 |
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Kornelson |
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October 2003 |
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October 2003 |
Gabbay |
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October 2003 |
Huitema |
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November 2003 |
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May 2004 |
Martone et al. |
6747121 |
June 2004 |
Gogolewski |
6749560 |
June 2004 |
Konstorum et al. |
6752768 |
June 2004 |
Burdorff et al. |
6752816 |
June 2004 |
Culp et al. |
6755195 |
June 2004 |
Lemke et al. |
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June 2004 |
Hahnen et al. |
6758846 |
July 2004 |
Goble et al. |
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July 2004 |
Adams et al. |
6762339 |
July 2004 |
Klun et al. |
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July 2004 |
Ramans et al. |
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July 2004 |
Field et al. |
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July 2004 |
Kanner et al. |
6769590 |
August 2004 |
Vresh et al. |
6769594 |
August 2004 |
Orban, III |
6770027 |
August 2004 |
Banik et al. |
6770070 |
August 2004 |
Balbierz |
6770072 |
August 2004 |
Truckai et al. |
6773409 |
August 2004 |
Truckai et al. |
6773438 |
August 2004 |
Knodel et al. |
6775575 |
August 2004 |
Bommannan et al. |
6777838 |
August 2004 |
Miekka et al. |
6780151 |
August 2004 |
Grabover et al. |
6780180 |
August 2004 |
Goble et al. |
6783524 |
August 2004 |
Anderson et al. |
6786382 |
September 2004 |
Hoffman |
6786864 |
September 2004 |
Matsuura et al. |
6786896 |
September 2004 |
Madani et al. |
6788018 |
September 2004 |
Blumenkranz |
6790173 |
September 2004 |
Saadat et al. |
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September 2004 |
Whitman et al. |
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September 2004 |
Hamilton et al. |
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September 2004 |
Kneifel et al. |
6802843 |
October 2004 |
Truckai et al. |
6805273 |
October 2004 |
Bilotti et al. |
6806808 |
October 2004 |
Watters et al. |
6808525 |
October 2004 |
Latterell et al. |
6814741 |
November 2004 |
Bowman et al. |
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November 2004 |
Racenet et al. |
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November 2004 |
Geiste et al. |
6817974 |
November 2004 |
Cooper et al. |
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November 2004 |
Sawhney |
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November 2004 |
Adams |
6821273 |
November 2004 |
Mollenauer |
6821282 |
November 2004 |
Perry et al. |
6821284 |
November 2004 |
Sturtz et al. |
6827246 |
December 2004 |
Sullivan et al. |
6827712 |
December 2004 |
Tovey et al. |
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December 2004 |
Batchelor et al. |
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December 2004 |
Casden |
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December 2004 |
Hillstead et al. |
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December 2004 |
Nishino et al. |
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December 2004 |
Goble |
6834001 |
December 2004 |
Myono |
6835173 |
December 2004 |
Couvillon, Jr. |
6835199 |
December 2004 |
McGuckin, Jr. et al. |
6835336 |
December 2004 |
Watt |
6837846 |
January 2005 |
Jaffe et al. |
6837883 |
January 2005 |
Moll et al. |
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January 2005 |
Williams et al. |
6840423 |
January 2005 |
Adams et al. |
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January 2005 |
Whitman |
6843789 |
January 2005 |
Goble |
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January 2005 |
Brock et al. |
6846307 |
January 2005 |
Whitman et al. |
6846308 |
January 2005 |
Whitman et al. |
6846309 |
January 2005 |
Whitman et al. |
6849071 |
February 2005 |
Whitman et al. |
6850817 |
February 2005 |
Green |
6853879 |
February 2005 |
Sunaoshi |
6858005 |
February 2005 |
Ohline et al. |
RE38708 |
March 2005 |
Bolanos et al. |
6861142 |
March 2005 |
Wilkie et al. |
6863694 |
March 2005 |
Boyce et al. |
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March 2005 |
Adams et al. |
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March 2005 |
Tierney et al. |
6867248 |
March 2005 |
Martin et al. |
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March 2005 |
Balbierz et al. |
6869435 |
March 2005 |
Blake, III |
6872214 |
March 2005 |
Sonnenschein et al. |
6874669 |
April 2005 |
Adams et al. |
6877647 |
April 2005 |
Green et al. |
6878106 |
April 2005 |
Herrmann |
6889116 |
May 2005 |
Jinno |
6893435 |
May 2005 |
Goble |
6899538 |
May 2005 |
Matoba |
6905057 |
June 2005 |
Swayze et al. |
6905497 |
June 2005 |
Truckai et al. |
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June 2005 |
Hooven |
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June 2005 |
Wiener et al. |
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June 2005 |
de Guillebon et al. |
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June 2005 |
Wang et al. |
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July 2005 |
Truckai et al. |
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July 2005 |
Liddicoat et al. |
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July 2005 |
Schwarz et al. |
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July 2005 |
Corcoran et al. |
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July 2005 |
Black et al. |
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August 2005 |
Ullah |
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August 2005 |
Goble |
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August 2005 |
Baker et al. |
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August 2005 |
Goble et al. |
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August 2005 |
Truckai et al. |
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August 2005 |
Liao |
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August 2005 |
Kosann et al. |
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August 2005 |
Ryan |
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August 2005 |
Wallace et al. |
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August 2005 |
Bell et al. |
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September 2005 |
Palacios et al. |
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September 2005 |
Goble et al. |
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September 2005 |
Gresham et al. |
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September 2005 |
Donofrio et al. |
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October 2005 |
Dworak et al. |
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October 2005 |
Milliman et al. |
6958035 |
October 2005 |
Friedman et al. |
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November 2005 |
Heinrich |
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November 2005 |
Shelton, IV et al. |
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November 2005 |
Schaub et al. |
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November 2005 |
Ewers et al. |
6960220 |
November 2005 |
Marino et al. |
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November 2005 |
Johnson et al. |
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November 2005 |
Green |
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November 2005 |
Wales et al. |
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November 2005 |
Goble |
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November 2005 |
Marshall et al. |
6971988 |
December 2005 |
Orban, III |
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December 2005 |
Lebouitz et al. |
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December 2005 |
Sater |
6978921 |
December 2005 |
Shelton, IV et al. |
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December 2005 |
Bilotti et al. |
6981628 |
January 2006 |
Wales |
6981941 |
January 2006 |
Whitman et al. |
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January 2006 |
Gannoe |
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January 2006 |
Tartaglia et al. |
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January 2006 |
Goble et al. |
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January 2006 |
Mastri et al. |
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January 2006 |
Shelton, IV et al. |
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January 2006 |
Schwemberger et al. |
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January 2006 |
Schnipke et al. |
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January 2006 |
Sunaoshi |
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February 2006 |
Manzo |
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February 2006 |
Govari et al. |
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February 2006 |
Sauer et al. |
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February 2006 |
Wieck et al. |
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February 2006 |
Shelton, IV et al. |
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February 2006 |
Swayze et al. |
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February 2006 |
Goble |
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February 2006 |
Knodel et al. |
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March 2006 |
Cummins |
7009039 |
March 2006 |
Yayon et al. |
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March 2006 |
Truckai et al. |
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March 2006 |
Emmons |
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March 2006 |
Turovskiy et al. |
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April 2006 |
Lindermeir et al. |
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April 2006 |
Mann et al. |
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April 2006 |
Nakao |
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April 2006 |
Roberts et al. |
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April 2006 |
Whitman et al. |
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April 2006 |
Viola et al. |
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April 2006 |
Latterell et al. |
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May 2006 |
Flannery |
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May 2006 |
Kagan et al. |
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May 2006 |
Truckai et al. |
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May 2006 |
Greene et al. |
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May 2006 |
Hayashida et al. |
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May 2006 |
Kameyama et al. |
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May 2006 |
Shelton, IV et al. |
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May 2006 |
Mastri et al. |
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May 2006 |
Reuss et al. |
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May 2006 |
Tierney et al. |
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May 2006 |
Goble et al. |
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May 2006 |
Steger et al. |
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June 2006 |
Ehrenfels et al. |
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June 2006 |
Shelton, IV et al. |
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June 2006 |
Martone et al. |
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June 2006 |
Gayton |
7059331 |
June 2006 |
Adams et al. |
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June 2006 |
Shelton, IV et al. |
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June 2006 |
Couvillon, Jr. |
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June 2006 |
Vargas et al. |
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June 2006 |
Fowler et al. |
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June 2006 |
Laufer et al. |
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June 2006 |
Trokhan et al. |
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July 2006 |
Jankowski |
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July 2006 |
Adams et al. |
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July 2006 |
Truckai et al. |
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July 2006 |
Rhine et al. |
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July 2006 |
Smith |
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July 2006 |
Whitman |
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July 2006 |
Vresh et al. |
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July 2006 |
Rashidi |
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August 2006 |
Yoshie et al. |
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August 2006 |
Swayze et al. |
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August 2006 |
Wang et al. |
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August 2006 |
Peterson et al. |
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August 2006 |
Truckai et al. |
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August 2006 |
Jahns et al. |
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Truckai et al. |
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August 2006 |
Nicholas et al. |
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August 2006 |
Danitz et al. |
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August 2006 |
Dycus et al. |
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August 2006 |
Brock et al. |
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August 2006 |
McGuckin, Jr. et al. |
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August 2006 |
Nobis et al. |
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August 2006 |
Monassevitch et al. |
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August 2006 |
Marczyk |
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August 2006 |
Long |
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August 2006 |
Weller et al. |
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August 2006 |
Lindsay et al. |
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September 2006 |
Williams et al. |
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September 2006 |
Hamm et al. |
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September 2006 |
Krohn |
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September 2006 |
Witt et al. |
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September 2006 |
Evens et al. |
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September 2006 |
Cummins |
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September 2006 |
Wales et al. |
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September 2006 |
Peterson et al. |
RE39358 |
October 2006 |
Goble |
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October 2006 |
Whitman |
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October 2006 |
Wang et al. |
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October 2006 |
Arad et al. |
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October 2006 |
Looper et al. |
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October 2006 |
Truckai et al. |
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October 2006 |
Farritor et al. |
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October 2006 |
Snyder |
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October 2006 |
Mastri et al. |
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October 2006 |
Shelton, IV et al. |
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October 2006 |
Mooradian et al. |
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November 2006 |
Amoah |
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November 2006 |
Phillips et al. |
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November 2006 |
Schwemberger et al. |
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November 2006 |
Buysse et al. |
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November 2006 |
Long |
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November 2006 |
Squilla et al. |
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November 2006 |
Ehrenfels et al. |
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November 2006 |
Shelton, IV |
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December 2006 |
Shelton, IV et al. |
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December 2006 |
Scirica et al. |
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December 2006 |
Shelton, IV et al. |
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December 2006 |
Shelton, IV et al. |
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December 2006 |
Shelton, IV |
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December 2006 |
Schwemberger et al. |
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December 2006 |
Wukusick et al. |
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December 2006 |
Goble |
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December 2006 |
Lee |
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December 2006 |
Ebbutt et al. |
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December 2006 |
Goble |
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December 2006 |
Sutherland et al. |
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January 2007 |
Sonnenschein et al. |
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January 2007 |
Racenet et al. |
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January 2007 |
Pearson et al. |
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January 2007 |
Baily |
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January 2007 |
Oikawa et al. |
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January 2007 |
Evans et al. |
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January 2007 |
Milliman et al. |
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February 2007 |
Scirica et al. |
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February 2007 |
Trieu et al. |
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February 2007 |
Motoki et al. |
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February 2007 |
Nolan et al. |
7182239 |
February 2007 |
Myers |
7182763 |
February 2007 |
Nardella |
7183737 |
February 2007 |
Kitagawa |
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March 2007 |
Viola et al. |
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March 2007 |
Viola |
7195627 |
March 2007 |
Amoah et al. |
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April 2007 |
Okamura et al. |
7202653 |
April 2007 |
Pai |
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April 2007 |
Latterell et al. |
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April 2007 |
Wadge |
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April 2007 |
Heinrich et al. |
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April 2007 |
Wukusick et al. |
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April 2007 |
Saitoh et al. |
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April 2007 |
Frecker et al. |
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May 2007 |
Leiboff et al. |
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May 2007 |
Goble |
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May 2007 |
Goble et al. |
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May 2007 |
Hughett |
7211979 |
May 2007 |
Khatib et al. |
7213736 |
May 2007 |
Wales et al. |
7214224 |
May 2007 |
Goble |
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May 2007 |
Takamatsu |
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May 2007 |
Vargas et al. |
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May 2007 |
Fleming et al. |
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May 2007 |
Weadock |
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June 2007 |
Scirica |
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June 2007 |
Mastri et al. |
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June 2007 |
Gresham et al. |
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June 2007 |
McGuckin, Jr. |
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June 2007 |
Jing et al. |
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July 2007 |
Guy et al. |
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July 2007 |
Viola |
7238901 |
July 2007 |
Kim et al. |
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July 2007 |
Braun |
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July 2007 |
Shelton, IV |
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July 2007 |
Johnston et al. |
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July 2007 |
Chapius |
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August 2007 |
Kunz |
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August 2007 |
Goble et al. |
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August 2007 |
Hamel et al. |
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August 2007 |
Mastri et al. |
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August 2007 |
Beier et al. |
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August 2007 |
Libbus et al. |
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September 2007 |
Lee et al. |
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September 2007 |
McGuckin, Jr. et al. |
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September 2007 |
Wiener et al. |
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October 2007 |
Mastri et al. |
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October 2007 |
Green |
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October 2007 |
Bader |
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October 2007 |
Goble |
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October 2007 |
Goble et al. |
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October 2007 |
Frielink et al. |
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October 2007 |
Ezzat et al. |
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November 2007 |
Ehrenfels et al. |
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November 2007 |
Sunaoshi |
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November 2007 |
Lu et al. |
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November 2007 |
Ivanko |
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November 2007 |
Green et al. |
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November 2007 |
Vitali et al. |
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November 2007 |
Jinno et al. |
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November 2007 |
Vleugels et al. |
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December 2007 |
Milliman et al. |
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December 2007 |
Milliman et al. |
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December 2007 |
Shelton, IV |
7303502 |
December 2007 |
Thompson |
7303556 |
December 2007 |
Metzger |
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December 2007 |
Manzo |
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December 2007 |
Mastri et al. |
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January 2008 |
Evans |
7322975 |
January 2008 |
Goble et al. |
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January 2008 |
Nicholas et al. |
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January 2008 |
Chang |
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February 2008 |
Papineau et al. |
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February 2008 |
Benderev et al. |
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February 2008 |
Ortiz et al. |
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February 2008 |
Arad et al. |
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February 2008 |
DeJonge et al. |
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February 2008 |
Barney |
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February 2008 |
Rethy et al. |
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February 2008 |
McAlister et al. |
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February 2008 |
Goble et al. |
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February 2008 |
Lohr |
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February 2008 |
Smith et al. |
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March 2008 |
Lee et al. |
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March 2008 |
Grinberg |
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March 2008 |
Toby et al. |
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March 2008 |
Goble et al. |
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March 2008 |
Pearson et al. |
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March 2008 |
Fontaine |
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March 2008 |
Reinhart et al. |
RE40237 |
April 2008 |
Bilotti et al. |
7351258 |
April 2008 |
Ricotta et al. |
7354447 |
April 2008 |
Shelton, IV et al. |
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April 2008 |
Polat et al. |
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April 2008 |
Shelton, IV et al. |
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April 2008 |
Rivera et al. |
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April 2008 |
Schwartz et al. |
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April 2008 |
Milliman |
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April 2008 |
Swayze et al. |
7377918 |
May 2008 |
Amoah |
7377928 |
May 2008 |
Zubik et al. |
7380695 |
June 2008 |
Doll et al. |
7380696 |
June 2008 |
Shelton, IV et al. |
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June 2008 |
Cucin |
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June 2008 |
Nixon |
7386730 |
June 2008 |
Uchikubo |
7388217 |
June 2008 |
Buschbeck et al. |
7388484 |
June 2008 |
Hsu |
7391173 |
June 2008 |
Schena |
7396356 |
July 2008 |
Mollenauer |
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July 2008 |
Govari |
7398907 |
July 2008 |
Racenet et al. |
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July 2008 |
Holsten et al. |
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July 2008 |
Zacharias |
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July 2008 |
Holsten et al. |
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July 2008 |
Smith et al. |
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July 2008 |
Ortiz et al. |
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July 2008 |
Viart et al. |
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August 2008 |
Ortiz et al. |
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August 2008 |
Holsten et al. |
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August 2008 |
Racenet et al. |
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August 2008 |
Ortiz et al. |
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August 2008 |
Shelton, IV et al. |
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August 2008 |
Ortiz et al. |
7413563 |
August 2008 |
Corcoran et al. |
7416101 |
August 2008 |
Shelton, IV et al. |
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August 2008 |
Blanz et al. |
RE40514 |
September 2008 |
Mastri et al. |
7419080 |
September 2008 |
Smith et al. |
7419081 |
September 2008 |
Ehrenfels et al. |
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September 2008 |
Menn et al. |
7422136 |
September 2008 |
Marczyk |
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September 2008 |
Bilotti et al. |
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September 2008 |
Shelton, IV et al. |
7424965 |
September 2008 |
Racenet et al. |
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September 2008 |
Suzuki |
7431188 |
October 2008 |
Marczyk |
7431189 |
October 2008 |
Shelton, IV et al. |
7431694 |
October 2008 |
Stefanchik et al. |
7431730 |
October 2008 |
Viola |
7434715 |
October 2008 |
Shelton, IV et al. |
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October 2008 |
Shelton, IV et al. |
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October 2008 |
Hess et al. |
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October 2008 |
Milliman et al. |
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October 2008 |
Lenges et al. |
7441684 |
October 2008 |
Shelton, IV et al. |
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October 2008 |
Boudreaux |
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October 2008 |
Pugsley et al. |
7443547 |
October 2008 |
Moreno et al. |
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November 2008 |
Shelton, IV et al. |
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November 2008 |
Shelton, IV |
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November 2008 |
Wales et al. |
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November 2008 |
Holsten et al. |
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November 2008 |
Viola |
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December 2008 |
Viola et al. |
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December 2008 |
Johnston et al. |
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December 2008 |
Shelton, IV et al. |
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December 2008 |
Viola et al. |
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December 2008 |
Shelton, IV et al. |
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December 2008 |
Shelton, IV et al. |
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December 2008 |
Silverbrook et al. |
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January 2009 |
Mastri et al. |
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January 2009 |
Shelton, IV et al. |
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January 2009 |
Holsten et al. |
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January 2009 |
Dycus et al. |
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January 2009 |
Johnston et al. |
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January 2009 |
Taniguchi et al. |
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January 2009 |
Smith |
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January 2009 |
Roy |
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January 2009 |
Marczyk |
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Shibata |
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Bedi et al. |
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Milliman |
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Eggers |
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April 2012 |
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Shelton, IV et al. |
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Baxter, III et al. |
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Milliman et al. |
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Spivey |
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Govari et al. |
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Bettuchi |
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October 2012 |
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Viola |
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Milliman et al. |
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October 2012 |
Shelton, IV et al. |
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October 2012 |
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Whitman |
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Vargas |
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November 2012 |
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November 2012 |
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November 2012 |
Prommersberger |
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November 2012 |
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November 2012 |
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November 2012 |
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November 2012 |
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December 2012 |
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December 2012 |
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December 2012 |
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January 2013 |
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Scirica |
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September 2013 |
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October 2013 |
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October 2013 |
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October 2013 |
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November 2013 |
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November 2013 |
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November 2013 |
von Bulow et al. |
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November 2013 |
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November 2013 |
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November 2013 |
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November 2013 |
Gresham |
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November 2013 |
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November 2013 |
Kirsch |
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November 2013 |
Hess et al. |
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December 2013 |
Yates et al. |
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December 2013 |
Shelton, IV et al. |
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December 2013 |
Mueller |
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December 2013 |
Hueil et al. |
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December 2013 |
Smith et al. |
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December 2013 |
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December 2013 |
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December 2013 |
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December 2013 |
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January 2014 |
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January 2014 |
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January 2014 |
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January 2014 |
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January 2014 |
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January 2014 |
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January 2014 |
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January 2014 |
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January 2014 |
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January 2014 |
Hueil et al. |
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January 2014 |
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January 2014 |
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February 2014 |
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February 2014 |
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February 2014 |
Giordano et al. |
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February 2014 |
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February 2014 |
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February 2014 |
Scirica et al. |
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February 2014 |
Hueil et al. |
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February 2014 |
Malackowski et al. |
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March 2014 |
Takei |
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March 2014 |
Olson |
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March 2014 |
Hess et al. |
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March 2014 |
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March 2014 |
Shelton, IV et al. |
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March 2014 |
Hess et al. |
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March 2014 |
Deshays |
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March 2014 |
Viola |
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March 2014 |
Farra |
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March 2014 |
Hart |
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March 2014 |
Bauman et al. |
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March 2014 |
Guire et al. |
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April 2014 |
Bettuchi et al. |
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April 2014 |
Giordano et al. |
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April 2014 |
Weizman et al. |
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April 2014 |
Leimbach et al. |
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April 2014 |
Hunt et al. |
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April 2014 |
Shelton, IV et al. |
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April 2014 |
Shah |
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April 2014 |
Zemlok et al. |
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April 2014 |
Shelton, IV et al. |
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May 2014 |
Greener |
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May 2014 |
Hess et al. |
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May 2014 |
Ortiz et al. |
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May 2014 |
Schroeder et al. |
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May 2014 |
Hess et al. |
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May 2014 |
Roy |
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May 2014 |
Cummins |
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May 2014 |
Huitema et al. |
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May 2014 |
Ross et al. |
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May 2014 |
Widenhouse et al. |
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May 2014 |
Rosenberg |
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June 2014 |
Morgan et al. |
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June 2014 |
Shelton, IV et al. |
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June 2014 |
Shelton, IV et al. |
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June 2014 |
Geremakis et al. |
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June 2014 |
Shelton, IV et al. |
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June 2014 |
Giordano et al. |
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June 2014 |
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June 2014 |
Shelton, IV et al. |
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June 2014 |
Ackley et al. |
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June 2014 |
Morgan et al. |
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June 2014 |
Shelton, IV et al. |
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June 2014 |
Moore et al. |
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June 2014 |
Woodard, Jr. et al. |
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June 2014 |
Jaworek |
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June 2014 |
Swayze et al. |
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June 2014 |
Boyce et al. |
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July 2014 |
Morgan et al. |
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July 2014 |
Schall et al. |
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July 2014 |
Shelton, IV et al. |
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July 2014 |
Whitman et al. |
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July 2014 |
Shelton, IV et al. |
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July 2014 |
Shelton, IV et al. |
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July 2014 |
Riestenberg et al. |
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July 2014 |
Shelton, IV et al. |
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July 2014 |
Doyle et al. |
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July 2014 |
Malackowski et al. |
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July 2014 |
Hodgkinson et al. |
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July 2014 |
Swensgard |
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July 2014 |
Baxter, III et al. |
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July 2014 |
Baxter, III et al. |
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July 2014 |
Dave et al. |
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August 2014 |
Scirica |
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August 2014 |
Zingman |
8795276 |
August 2014 |
Dietz et al. |
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August 2014 |
Shelton, IV |
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August 2014 |
Beetel |
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August 2014 |
Ellerhorst et al. |
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August 2014 |
Shelton, IV et al. |
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August 2014 |
Shelton, IV et al. |
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August 2014 |
Fortier et al. |
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August 2014 |
Ross et al. |
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August 2014 |
Ross et al. |
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August 2014 |
Fox et al. |
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August 2014 |
Heinrich et al. |
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August 2014 |
Suzuki |
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August 2014 |
Woodard, Jr. et al. |
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August 2014 |
Miller et al. |
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September 2014 |
Shelton, IV et al. |
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September 2014 |
Shelton, IV |
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September 2014 |
Hodgkinson |
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September 2014 |
Marczyk |
8827133 |
September 2014 |
Shelton, IV et al. |
8827903 |
September 2014 |
Shelton, IV et al. |
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September 2014 |
Swensgard |
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September 2014 |
Morgan et al. |
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September 2014 |
Shelton, IV et al. |
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September 2014 |
Shelton, IV et al. |
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October 2014 |
Swensgard et al. |
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October 2014 |
Deslauriers et al. |
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October 2014 |
Schuckmann et al. |
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October 2014 |
Shelton, IV et al. |
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October 2014 |
Shelton, IV et al. |
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October 2014 |
Shelton, IV et al. |
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October 2014 |
Widenhouse et al. |
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October 2014 |
Shelton, IV et al. |
8870050 |
October 2014 |
Hodgkinson |
8875971 |
November 2014 |
Hall et al. |
8875972 |
November 2014 |
Weisenburgh, II et al. |
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November 2014 |
Burbank |
8893946 |
November 2014 |
Boudreaux et al. |
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November 2014 |
Shelton, IV et al. |
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December 2014 |
Schall et al. |
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December 2014 |
Hueil et al. |
8899465 |
December 2014 |
Shelton, IV et al. |
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December 2014 |
Baxter, III et al. |
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December 2014 |
Shelton et al. |
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December 2014 |
Coppeta et al. |
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December 2014 |
Spivey et al. |
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December 2014 |
Aranyi et al. |
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January 2015 |
Shelton, IV |
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January 2015 |
Zemlok et al. |
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January 2015 |
Hess et al. |
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January 2015 |
Mollere et al. |
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January 2015 |
Timm et al. |
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|
EP |
|
1459695 |
|
Sep 2004 |
|
EP |
|
1254636 |
|
Oct 2004 |
|
EP |
|
1473819 |
|
Nov 2004 |
|
EP |
|
1477119 |
|
Nov 2004 |
|
EP |
|
1479345 |
|
Nov 2004 |
|
EP |
|
1479347 |
|
Nov 2004 |
|
EP |
|
1479348 |
|
Nov 2004 |
|
EP |
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0754437 |
|
Dec 2004 |
|
EP |
|
1025807 |
|
Dec 2004 |
|
EP |
|
1001710 |
|
Jan 2005 |
|
EP |
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1496805 |
|
Jan 2005 |
|
EP |
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1256318 |
|
Feb 2005 |
|
EP |
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1520521 |
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Apr 2005 |
|
EP |
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1520522 |
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Apr 2005 |
|
EP |
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1520523 |
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Apr 2005 |
|
EP |
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1520525 |
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Apr 2005 |
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EP |
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1522264 |
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Apr 2005 |
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EP |
|
1523942 |
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Apr 2005 |
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EP |
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1550408 |
|
Jul 2005 |
|
EP |
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1557129 |
|
Jul 2005 |
|
EP |
|
1064883 |
|
Aug 2005 |
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EP |
|
1067876 |
|
Aug 2005 |
|
EP |
|
0870473 |
|
Sep 2005 |
|
EP |
|
1157666 |
|
Sep 2005 |
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EP |
|
0880338 |
|
Oct 2005 |
|
EP |
|
1158917 |
|
Nov 2005 |
|
EP |
|
1344498 |
|
Nov 2005 |
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EP |
|
0906764 |
|
Dec 2005 |
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EP |
|
1330989 |
|
Dec 2005 |
|
EP |
|
0771176 |
|
Jan 2006 |
|
EP |
|
1621138 |
|
Feb 2006 |
|
EP |
|
1621139 |
|
Feb 2006 |
|
EP |
|
1621141 |
|
Feb 2006 |
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EP |
|
1621143 |
|
Feb 2006 |
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EP |
|
1621145 |
|
Feb 2006 |
|
EP |
|
1621151 |
|
Feb 2006 |
|
EP |
|
1034746 |
|
Mar 2006 |
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EP |
|
1201196 |
|
Mar 2006 |
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EP |
|
1632191 |
|
Mar 2006 |
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EP |
|
1647231 |
|
Apr 2006 |
|
EP |
|
1065981 |
|
May 2006 |
|
EP |
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1082944 |
|
May 2006 |
|
EP |
|
1230899 |
|
May 2006 |
|
EP |
|
1652481 |
|
May 2006 |
|
EP |
|
1382303 |
|
Jun 2006 |
|
EP |
|
1253866 |
|
Jul 2006 |
|
EP |
|
1676539 |
|
Jul 2006 |
|
EP |
|
1032318 |
|
Aug 2006 |
|
EP |
|
1045672 |
|
Aug 2006 |
|
EP |
|
1617768 |
|
Aug 2006 |
|
EP |
|
1693015 |
|
Aug 2006 |
|
EP |
|
1400214 |
|
Sep 2006 |
|
EP |
|
1702567 |
|
Sep 2006 |
|
EP |
|
1129665 |
|
Nov 2006 |
|
EP |
|
1400206 |
|
Nov 2006 |
|
EP |
|
1721568 |
|
Nov 2006 |
|
EP |
|
1256317 |
|
Dec 2006 |
|
EP |
|
1285633 |
|
Dec 2006 |
|
EP |
|
1728473 |
|
Dec 2006 |
|
EP |
|
1728475 |
|
Dec 2006 |
|
EP |
|
1736105 |
|
Dec 2006 |
|
EP |
|
1011494 |
|
Jan 2007 |
|
EP |
|
1479346 |
|
Jan 2007 |
|
EP |
|
1484024 |
|
Jan 2007 |
|
EP |
|
1749485 |
|
Feb 2007 |
|
EP |
|
1754445 |
|
Feb 2007 |
|
EP |
|
1759812 |
|
Mar 2007 |
|
EP |
|
1767157 |
|
Mar 2007 |
|
EP |
|
1767163 |
|
Mar 2007 |
|
EP |
|
1563792 |
|
Apr 2007 |
|
EP |
|
1769756 |
|
Apr 2007 |
|
EP |
|
1769758 |
|
Apr 2007 |
|
EP |
|
1581128 |
|
May 2007 |
|
EP |
|
1780825 |
|
May 2007 |
|
EP |
|
1785097 |
|
May 2007 |
|
EP |
|
1790293 |
|
May 2007 |
|
EP |
|
1790294 |
|
May 2007 |
|
EP |
|
1563793 |
|
Jun 2007 |
|
EP |
|
1791473 |
|
Jun 2007 |
|
EP |
|
1800610 |
|
Jun 2007 |
|
EP |
|
1300117 |
|
Aug 2007 |
|
EP |
|
1813199 |
|
Aug 2007 |
|
EP |
|
1813200 |
|
Aug 2007 |
|
EP |
|
1813201 |
|
Aug 2007 |
|
EP |
|
1813202 |
|
Aug 2007 |
|
EP |
|
1813203 |
|
Aug 2007 |
|
EP |
|
1813207 |
|
Aug 2007 |
|
EP |
|
1813209 |
|
Aug 2007 |
|
EP |
|
1815950 |
|
Aug 2007 |
|
EP |
|
1330991 |
|
Sep 2007 |
|
EP |
|
1806103 |
|
Sep 2007 |
|
EP |
|
1837041 |
|
Sep 2007 |
|
EP |
|
0922435 |
|
Oct 2007 |
|
EP |
|
1487359 |
|
Oct 2007 |
|
EP |
|
1599146 |
|
Oct 2007 |
|
EP |
|
1839596 |
|
Oct 2007 |
|
EP |
|
2110083 |
|
Oct 2007 |
|
EP |
|
1679096 |
|
Nov 2007 |
|
EP |
|
1857057 |
|
Nov 2007 |
|
EP |
|
1402821 |
|
Dec 2007 |
|
EP |
|
1872727 |
|
Jan 2008 |
|
EP |
|
1550410 |
|
Feb 2008 |
|
EP |
|
1671593 |
|
Feb 2008 |
|
EP |
|
1897502 |
|
Mar 2008 |
|
EP |
|
1611856 |
|
Apr 2008 |
|
EP |
|
1908417 |
|
Apr 2008 |
|
EP |
|
1917929 |
|
May 2008 |
|
EP |
|
1330201 |
|
Jun 2008 |
|
EP |
|
1702568 |
|
Jul 2008 |
|
EP |
|
1943955 |
|
Jul 2008 |
|
EP |
|
1943957 |
|
Jul 2008 |
|
EP |
|
1943959 |
|
Jul 2008 |
|
EP |
|
1943962 |
|
Jul 2008 |
|
EP |
|
1943964 |
|
Jul 2008 |
|
EP |
|
1943976 |
|
Jul 2008 |
|
EP |
|
1593337 |
|
Aug 2008 |
|
EP |
|
1970014 |
|
Sep 2008 |
|
EP |
|
1974678 |
|
Oct 2008 |
|
EP |
|
1980213 |
|
Oct 2008 |
|
EP |
|
1980214 |
|
Oct 2008 |
|
EP |
|
1759645 |
|
Nov 2008 |
|
EP |
|
1987780 |
|
Nov 2008 |
|
EP |
|
1990014 |
|
Nov 2008 |
|
EP |
|
1992296 |
|
Nov 2008 |
|
EP |
|
1552795 |
|
Dec 2008 |
|
EP |
|
1693008 |
|
Dec 2008 |
|
EP |
|
1759640 |
|
Dec 2008 |
|
EP |
|
1997439 |
|
Dec 2008 |
|
EP |
|
2000101 |
|
Dec 2008 |
|
EP |
|
2000102 |
|
Dec 2008 |
|
EP |
|
2005894 |
|
Dec 2008 |
|
EP |
|
2005897 |
|
Dec 2008 |
|
EP |
|
2005901 |
|
Dec 2008 |
|
EP |
|
2008595 |
|
Dec 2008 |
|
EP |
|
2025293 |
|
Feb 2009 |
|
EP |
|
1736104 |
|
Mar 2009 |
|
EP |
|
1749486 |
|
Mar 2009 |
|
EP |
|
1782743 |
|
Mar 2009 |
|
EP |
|
2039302 |
|
Mar 2009 |
|
EP |
|
2039308 |
|
Mar 2009 |
|
EP |
|
2039316 |
|
Mar 2009 |
|
EP |
|
1721576 |
|
Apr 2009 |
|
EP |
|
1733686 |
|
Apr 2009 |
|
EP |
|
2044890 |
|
Apr 2009 |
|
EP |
|
2055243 |
|
May 2009 |
|
EP |
|
1550409 |
|
Jun 2009 |
|
EP |
|
1550413 |
|
Jun 2009 |
|
EP |
|
1719461 |
|
Jun 2009 |
|
EP |
|
1834594 |
|
Jun 2009 |
|
EP |
|
1709911 |
|
Jul 2009 |
|
EP |
|
2077093 |
|
Jul 2009 |
|
EP |
|
1745748 |
|
Aug 2009 |
|
EP |
|
2090231 |
|
Aug 2009 |
|
EP |
|
2090237 |
|
Aug 2009 |
|
EP |
|
2090241 |
|
Aug 2009 |
|
EP |
|
2090244 |
|
Aug 2009 |
|
EP |
|
2090245 |
|
Aug 2009 |
|
EP |
|
2090254 |
|
Aug 2009 |
|
EP |
|
2090256 |
|
Aug 2009 |
|
EP |
|
2095777 |
|
Sep 2009 |
|
EP |
|
2098170 |
|
Sep 2009 |
|
EP |
|
2110082 |
|
Oct 2009 |
|
EP |
|
2110084 |
|
Oct 2009 |
|
EP |
|
2111803 |
|
Oct 2009 |
|
EP |
|
1762190 |
|
Nov 2009 |
|
EP |
|
1813208 |
|
Nov 2009 |
|
EP |
|
1908426 |
|
Nov 2009 |
|
EP |
|
2116195 |
|
Nov 2009 |
|
EP |
|
2116197 |
|
Nov 2009 |
|
EP |
|
1607050 |
|
Dec 2009 |
|
EP |
|
1815804 |
|
Dec 2009 |
|
EP |
|
1875870 |
|
Dec 2009 |
|
EP |
|
1878395 |
|
Jan 2010 |
|
EP |
|
2151204 |
|
Feb 2010 |
|
EP |
|
1813211 |
|
Mar 2010 |
|
EP |
|
2165656 |
|
Mar 2010 |
|
EP |
|
2165660 |
|
Mar 2010 |
|
EP |
|
2165664 |
|
Mar 2010 |
|
EP |
|
1566150 |
|
Apr 2010 |
|
EP |
|
1813206 |
|
Apr 2010 |
|
EP |
|
2184014 |
|
May 2010 |
|
EP |
|
1769754 |
|
Jun 2010 |
|
EP |
|
1854416 |
|
Jun 2010 |
|
EP |
|
1911408 |
|
Jun 2010 |
|
EP |
|
2198787 |
|
Jun 2010 |
|
EP |
|
2214610 |
|
Aug 2010 |
|
EP |
|
2218409 |
|
Aug 2010 |
|
EP |
|
1647286 |
|
Sep 2010 |
|
EP |
|
1825821 |
|
Sep 2010 |
|
EP |
|
1535565 |
|
Oct 2010 |
|
EP |
|
1702570 |
|
Oct 2010 |
|
EP |
|
1785098 |
|
Oct 2010 |
|
EP |
|
2005896 |
|
Oct 2010 |
|
EP |
|
2030578 |
|
Nov 2010 |
|
EP |
|
2036505 |
|
Nov 2010 |
|
EP |
|
2245993 |
|
Nov 2010 |
|
EP |
|
2245994 |
|
Nov 2010 |
|
EP |
|
2253280 |
|
Nov 2010 |
|
EP |
|
1627605 |
|
Dec 2010 |
|
EP |
|
2027811 |
|
Dec 2010 |
|
EP |
|
2130498 |
|
Dec 2010 |
|
EP |
|
2258282 |
|
Dec 2010 |
|
EP |
|
2263568 |
|
Dec 2010 |
|
EP |
|
1994890 |
|
Jan 2011 |
|
EP |
|
2005900 |
|
Jan 2011 |
|
EP |
|
2283780 |
|
Feb 2011 |
|
EP |
|
2286738 |
|
Feb 2011 |
|
EP |
|
1494595 |
|
Mar 2011 |
|
EP |
|
1690502 |
|
Mar 2011 |
|
EP |
|
1884201 |
|
Mar 2011 |
|
EP |
|
2292153 |
|
Mar 2011 |
|
EP |
|
1769755 |
|
Apr 2011 |
|
EP |
|
2090240 |
|
Apr 2011 |
|
EP |
|
2305135 |
|
Apr 2011 |
|
EP |
|
2308388 |
|
Apr 2011 |
|
EP |
|
2314254 |
|
Apr 2011 |
|
EP |
|
2316345 |
|
May 2011 |
|
EP |
|
2316366 |
|
May 2011 |
|
EP |
|
2324776 |
|
May 2011 |
|
EP |
|
1813205 |
|
Jun 2011 |
|
EP |
|
2090243 |
|
Jun 2011 |
|
EP |
|
2329773 |
|
Jun 2011 |
|
EP |
|
2090239 |
|
Jul 2011 |
|
EP |
|
2340771 |
|
Jul 2011 |
|
EP |
|
2353545 |
|
Aug 2011 |
|
EP |
|
2361562 |
|
Aug 2011 |
|
EP |
|
2377472 |
|
Oct 2011 |
|
EP |
|
1836986 |
|
Nov 2011 |
|
EP |
|
1908414 |
|
Nov 2011 |
|
EP |
|
2153781 |
|
Nov 2011 |
|
EP |
|
2389928 |
|
Nov 2011 |
|
EP |
|
1847225 |
|
Dec 2011 |
|
EP |
|
2397079 |
|
Dec 2011 |
|
EP |
|
2399538 |
|
Dec 2011 |
|
EP |
|
1785102 |
|
Jan 2012 |
|
EP |
|
2415416 |
|
Feb 2012 |
|
EP |
|
2090253 |
|
Mar 2012 |
|
EP |
|
2430986 |
|
Mar 2012 |
|
EP |
|
1347638 |
|
May 2012 |
|
EP |
|
1943956 |
|
May 2012 |
|
EP |
|
2446834 |
|
May 2012 |
|
EP |
|
2455007 |
|
May 2012 |
|
EP |
|
2457519 |
|
May 2012 |
|
EP |
|
2462878 |
|
Jun 2012 |
|
EP |
|
2462880 |
|
Jun 2012 |
|
EP |
|
1813204 |
|
Jul 2012 |
|
EP |
|
2189121 |
|
Jul 2012 |
|
EP |
|
2248475 |
|
Jul 2012 |
|
EP |
|
2005895 |
|
Aug 2012 |
|
EP |
|
2090248 |
|
Aug 2012 |
|
EP |
|
2481359 |
|
Aug 2012 |
|
EP |
|
2486860 |
|
Aug 2012 |
|
EP |
|
2486862 |
|
Aug 2012 |
|
EP |
|
1908412 |
|
Sep 2012 |
|
EP |
|
1935351 |
|
Sep 2012 |
|
EP |
|
2497431 |
|
Sep 2012 |
|
EP |
|
1550412 |
|
Oct 2012 |
|
EP |
|
1616549 |
|
Oct 2012 |
|
EP |
|
2030579 |
|
Oct 2012 |
|
EP |
|
2090252 |
|
Oct 2012 |
|
EP |
|
2517637 |
|
Oct 2012 |
|
EP |
|
2517638 |
|
Oct 2012 |
|
EP |
|
2517642 |
|
Oct 2012 |
|
EP |
|
2517645 |
|
Oct 2012 |
|
EP |
|
2517649 |
|
Oct 2012 |
|
EP |
|
2517651 |
|
Oct 2012 |
|
EP |
|
2526877 |
|
Nov 2012 |
|
EP |
|
2526883 |
|
Nov 2012 |
|
EP |
|
1884206 |
|
Mar 2013 |
|
EP |
|
2090238 |
|
Apr 2013 |
|
EP |
|
2586380 |
|
May 2013 |
|
EP |
|
2586383 |
|
May 2013 |
|
EP |
|
2606812 |
|
Jun 2013 |
|
EP |
|
2606834 |
|
Jun 2013 |
|
EP |
|
1982657 |
|
Jul 2013 |
|
EP |
|
2614782 |
|
Jul 2013 |
|
EP |
|
2090234 |
|
Sep 2013 |
|
EP |
|
2633830 |
|
Sep 2013 |
|
EP |
|
2644124 |
|
Oct 2013 |
|
EP |
|
2644209 |
|
Oct 2013 |
|
EP |
|
2649948 |
|
Oct 2013 |
|
EP |
|
2649949 |
|
Oct 2013 |
|
EP |
|
2700367 |
|
Feb 2014 |
|
EP |
|
2713902 |
|
Apr 2014 |
|
EP |
|
1772105 |
|
May 2014 |
|
EP |
|
2759267 |
|
Jul 2014 |
|
EP |
|
2772206 |
|
Sep 2014 |
|
EP |
|
2777528 |
|
Sep 2014 |
|
EP |
|
2777538 |
|
Sep 2014 |
|
EP |
|
2803324 |
|
Nov 2014 |
|
EP |
|
2446835 |
|
Jan 2015 |
|
EP |
|
2845545 |
|
Mar 2015 |
|
EP |
|
2923660 |
|
Sep 2015 |
|
EP |
|
1774914 |
|
Dec 2015 |
|
EP |
|
2090235 |
|
Apr 2016 |
|
EP |
|
2823773 |
|
Apr 2016 |
|
EP |
|
2131750 |
|
May 2016 |
|
EP |
|
2510891 |
|
Jun 2016 |
|
EP |
|
1915957 |
|
Aug 2016 |
|
EP |
|
2364651 |
|
Nov 2016 |
|
EP |
|
2396594 |
|
Feb 2013 |
|
ES |
|
459743 |
|
Nov 1913 |
|
FR |
|
999646 |
|
Feb 1952 |
|
FR |
|
1112936 |
|
Mar 1956 |
|
FR |
|
2598905 |
|
Nov 1987 |
|
FR |
|
2689749 |
|
Jul 1994 |
|
FR |
|
2765794 |
|
Jan 1999 |
|
FR |
|
2815842 |
|
Oct 2000 |
|
FR |
|
939929 |
|
Oct 1963 |
|
GB |
|
1210522 |
|
Oct 1970 |
|
GB |
|
1217159 |
|
Dec 1970 |
|
GB |
|
1339394 |
|
Dec 1973 |
|
GB |
|
2024012 |
|
Jan 1980 |
|
GB |
|
2109241 |
|
Jun 1983 |
|
GB |
|
2272159 |
|
May 1994 |
|
GB |
|
2284242 |
|
May 1995 |
|
GB |
|
2286435 |
|
Aug 1995 |
|
GB |
|
2336214 |
|
Oct 1999 |
|
GB |
|
2425903 |
|
Nov 2006 |
|
GB |
|
2423199 |
|
May 2009 |
|
GB |
|
930100110 |
|
Nov 1993 |
|
GR |
|
S 47-11908 |
|
May 1972 |
|
JP |
|
S 50-33988 |
|
Apr 1975 |
|
JP |
|
S 56-112235 |
|
Sep 1981 |
|
JP |
|
S 58500053 |
|
Jan 1983 |
|
JP |
|
S 58-501360 |
|
Aug 1983 |
|
JP |
|
S 59-174920 |
|
Mar 1984 |
|
JP |
|
S 60-100955 |
|
Jun 1985 |
|
JP |
|
S 60-212152 |
|
Oct 1985 |
|
JP |
|
S 61-98249 |
|
May 1986 |
|
JP |
|
S 61502036 |
|
Sep 1986 |
|
JP |
|
S 62-170011 |
|
Oct 1987 |
|
JP |
|
S 63-59764 |
|
Mar 1988 |
|
JP |
|
S 63-147449 |
|
Jun 1988 |
|
JP |
|
S 63-203149 |
|
Aug 1988 |
|
JP |
|
H 02-279149 |
|
Nov 1990 |
|
JP |
|
H 03-12126 |
|
Jan 1991 |
|
JP |
|
H 03-18354 |
|
Jan 1991 |
|
JP |
|
H 03-78514 |
|
Aug 1991 |
|
JP |
|
H 03-85009 |
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Aug 1991 |
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JP |
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H 04-215747 |
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Aug 1992 |
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JP |
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H 04-131860 |
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Dec 1992 |
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JP |
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H 05-84252 |
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Apr 1993 |
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JP |
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H 05-123325 |
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May 1993 |
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JP |
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H 06-30945 |
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Feb 1994 |
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H 06-54857 |
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Mar 1994 |
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Mar 1994 |
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May 1994 |
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H 06-237937 |
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Aug 1994 |
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JP |
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H 06-327684 |
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Nov 1994 |
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JP |
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H 07-9622 |
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Feb 1995 |
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JP |
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H 07-31623 |
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Feb 1995 |
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JP |
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H 07-47070 |
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Feb 1995 |
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JP |
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H 07-51273 |
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Feb 1995 |
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H 07-124166 |
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May 1995 |
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H 07-163574 |
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Jun 1995 |
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H 07-171163 |
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H 07-255735 |
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Oct 1995 |
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JP |
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H 07-285089 |
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Oct 1995 |
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JP |
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H 07-299074 |
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Nov 1995 |
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JP |
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H 08-33641 |
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Feb 1996 |
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JP |
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H 08-33642 |
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Feb 1996 |
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JP |
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H 08-164141 |
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Jun 1996 |
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Jul 1996 |
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H 08-507708 |
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Nov 1996 |
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H 08-336540 |
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Feb 1997 |
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Feb 1997 |
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Jun 1997 |
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H 10-113352 |
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May 1998 |
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H 10-118090 |
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May 1998 |
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10-512469 |
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Dec 1998 |
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JP |
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2000-014632 |
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Jan 2000 |
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2000-033071 |
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Feb 2000 |
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2000-112002 |
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Apr 2000 |
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JP |
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2000-166932 |
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Jun 2000 |
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2000-171730 |
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Jun 2000 |
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2000-287987 |
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Oct 2000 |
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JP |
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2000-325303 |
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Nov 2000 |
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2001-037763 |
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Feb 2001 |
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2001-046384 |
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Feb 2001 |
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JP |
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2001-087272 |
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Apr 2001 |
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JP |
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2001-514541 |
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Sep 2001 |
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JP |
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2001-276091 |
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Oct 2001 |
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2001-286477 |
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Oct 2001 |
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JP |
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2001-517473 |
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Oct 2001 |
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2002-051974 |
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Feb 2002 |
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2002-085415 |
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Mar 2002 |
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2002-143078 |
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May 2002 |
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2002-204801 |
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Jul 2002 |
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2002-528161 |
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Sep 2002 |
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JP |
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2002-314298 |
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Oct 2002 |
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JP |
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2002-369820 |
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Dec 2002 |
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JP |
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2002-542186 |
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Dec 2002 |
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JP |
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2003-000603 |
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Jan 2003 |
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JP |
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2003-500153 |
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Jan 2003 |
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JP |
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2003-504104 |
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Feb 2003 |
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JP |
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2003-135473 |
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May 2003 |
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JP |
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2003-148903 |
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May 2003 |
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2003-164066 |
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Jun 2003 |
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2003-521301 |
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JP |
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2003-523251 |
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Aug 2003 |
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JP |
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2003-523254 |
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Aug 2003 |
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JP |
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2003-300416 |
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Oct 2003 |
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JP |
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2004-147701 |
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May 2004 |
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JP |
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2004-162035 |
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Jun 2004 |
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JP |
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2004-229976 |
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Aug 2004 |
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JP |
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2004-524076 |
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Aug 2004 |
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JP |
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2004-531280 |
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Oct 2004 |
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JP |
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2004-532084 |
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Oct 2004 |
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JP |
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2004-532676 |
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Oct 2004 |
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JP |
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2004-329624 |
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Nov 2004 |
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JP |
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2004-337617 |
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Dec 2004 |
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JP |
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2004-344662 |
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Dec 2004 |
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JP |
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2004-344663 |
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Dec 2004 |
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JP |
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2005-013573 |
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Jan 2005 |
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JP |
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2005-028147 |
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Feb 2005 |
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JP |
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2005-028148 |
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Feb 2005 |
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JP |
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2005-028149 |
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Feb 2005 |
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JP |
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2005-505309 |
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Feb 2005 |
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JP |
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2005-505322 |
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Feb 2005 |
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JP |
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2005-505334 |
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Feb 2005 |
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JP |
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2005-080702 |
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Mar 2005 |
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JP |
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2005-103280 |
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Apr 2005 |
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JP |
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2005-103281 |
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Apr 2005 |
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JP |
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2005-103293 |
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Apr 2005 |
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JP |
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2005-511131 |
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Apr 2005 |
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JP |
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2005-511137 |
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Apr 2005 |
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JP |
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2005-131163 |
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May 2005 |
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JP |
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2005-131164 |
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May 2005 |
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JP |
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2005-131173 |
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May 2005 |
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JP |
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2005-131211 |
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May 2005 |
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JP |
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2005-131212 |
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May 2005 |
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JP |
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2005-137423 |
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Jun 2005 |
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JP |
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2005-137919 |
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Jun 2005 |
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JP |
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2005-144183 |
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Jun 2005 |
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JP |
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2005-152416 |
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Jun 2005 |
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JP |
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2005-516714 |
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Jun 2005 |
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JP |
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2005-187954 |
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Jul 2005 |
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JP |
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2005-521109 |
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Jul 2005 |
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JP |
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2005-523105 |
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Aug 2005 |
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JP |
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2005-524474 |
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Aug 2005 |
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JP |
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4461008 |
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Aug 2005 |
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JP |
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2005-296412 |
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Oct 2005 |
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JP |
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2005-529675 |
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Oct 2005 |
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JP |
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2005-328882 |
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Dec 2005 |
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JP |
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2005-335432 |
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Dec 2005 |
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JP |
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2005-342267 |
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Dec 2005 |
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JP |
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2006-034975 |
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Feb 2006 |
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JP |
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2006-034977 |
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Feb 2006 |
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2006-034978 |
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Feb 2006 |
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2006-034980 |
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Feb 2006 |
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JP |
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2006-506106 |
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Feb 2006 |
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JP |
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2006-510879 |
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Mar 2006 |
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JP |
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3791856 |
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Jun 2006 |
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JP |
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2006-187649 |
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Jul 2006 |
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JP |
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2006-218297 |
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Aug 2006 |
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JP |
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2006-223872 |
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Aug 2006 |
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JP |
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2006-281405 |
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Oct 2006 |
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JP |
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2006-289064 |
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Oct 2006 |
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JP |
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2006-334412 |
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Dec 2006 |
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JP |
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2006-334417 |
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Dec 2006 |
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JP |
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2006-346445 |
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Dec 2006 |
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JP |
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2007-000634 |
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Jan 2007 |
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JP |
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2007-050253 |
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Mar 2007 |
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JP |
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2007-061628 |
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Mar 2007 |
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JP |
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2007-083051 |
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Apr 2007 |
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JP |
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2007-098130 |
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Apr 2007 |
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JP |
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2007-105481 |
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Apr 2007 |
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JP |
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3906843 |
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Apr 2007 |
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JP |
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2007-117725 |
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May 2007 |
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JP |
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2007-130471 |
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May 2007 |
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2007-130479 |
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May 2007 |
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2007-222615 |
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Jun 2007 |
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3934161 |
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Jun 2007 |
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JP |
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2007-203047 |
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Aug 2007 |
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2007-203049 |
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Aug 2007 |
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JP |
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2007-203051 |
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Aug 2007 |
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JP |
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2007-203055 |
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Aug 2007 |
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JP |
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2007-203057 |
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Aug 2007 |
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JP |
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2007-524435 |
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Aug 2007 |
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JP |
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2007-229448 |
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Sep 2007 |
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JP |
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2007-526026 |
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Sep 2007 |
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JP |
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2007-252916 |
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Oct 2007 |
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JP |
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4001860 |
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Oct 2007 |
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JP |
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2007-307373 |
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Nov 2007 |
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JP |
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2007-325922 |
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Dec 2007 |
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JP |
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2008-068073 |
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Mar 2008 |
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JP |
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2008-510515 |
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Apr 2008 |
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JP |
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2008-516669 |
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May 2008 |
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JP |
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2008-206967 |
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Sep 2008 |
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JP |
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2008-212637 |
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Sep 2008 |
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JP |
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2008-212638 |
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Sep 2008 |
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JP |
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2008-220956 |
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Sep 2008 |
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JP |
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2008-237881 |
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Oct 2008 |
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JP |
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2008-259860 |
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Oct 2008 |
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JP |
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2008-264535 |
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Nov 2008 |
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JP |
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2008-283459 |
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Nov 2008 |
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JP |
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2008-307393 |
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Dec 2008 |
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JP |
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2009-000531 |
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Jan 2009 |
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JP |
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2009-006137 |
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Jan 2009 |
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JP |
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2009-502351 |
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Jan 2009 |
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JP |
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2009-502352 |
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Jan 2009 |
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JP |
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2009-022742 |
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Feb 2009 |
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JP |
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2009-506799 |
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Feb 2009 |
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JP |
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2009-507526 |
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Feb 2009 |
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JP |
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2009-072595 |
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Apr 2009 |
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JP |
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2009-072599 |
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Apr 2009 |
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JP |
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2009-090113 |
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Apr 2009 |
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JP |
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2009-106752 |
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May 2009 |
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JP |
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2009-189821 |
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Aug 2009 |
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JP |
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2009-189823 |
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Aug 2009 |
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JP |
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2009-189836 |
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Aug 2009 |
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JP |
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2009-189837 |
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Aug 2009 |
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JP |
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2009-189838 |
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Aug 2009 |
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JP |
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2009-189847 |
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Aug 2009 |
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JP |
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2009-201998 |
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Sep 2009 |
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JP |
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2009-536082 |
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Oct 2009 |
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JP |
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2009-261944 |
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Nov 2009 |
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JP |
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2009-268908 |
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Nov 2009 |
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JP |
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2009-538684 |
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Nov 2009 |
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JP |
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2009-539420 |
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Nov 2009 |
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JP |
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2009-291604 |
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Dec 2009 |
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JP |
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2010-504808 |
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Feb 2010 |
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JP |
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2010-504809 |
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Feb 2010 |
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JP |
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2010-504813 |
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Feb 2010 |
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JP |
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2010-504846 |
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Feb 2010 |
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JP |
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2010-505524 |
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Feb 2010 |
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JP |
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2010-069307 |
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Apr 2010 |
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JP |
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2010-069310 |
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Apr 2010 |
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JP |
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2010-075694 |
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Apr 2010 |
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JP |
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2010-075695 |
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Apr 2010 |
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JP |
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2010-088876 |
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Apr 2010 |
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JP |
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2010-098844 |
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Apr 2010 |
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JP |
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2010-142636 |
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Jul 2010 |
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JP |
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2010-214166 |
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Sep 2010 |
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JP |
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4549018 |
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Sep 2010 |
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JP |
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2010-279690 |
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Dec 2010 |
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JP |
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2010-540192 |
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Dec 2010 |
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JP |
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2011-005260 |
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Jan 2011 |
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JP |
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2011-504391 |
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Feb 2011 |
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JP |
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2011-072797 |
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Apr 2011 |
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JP |
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2011-078763 |
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Apr 2011 |
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JP |
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2011-524199 |
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Sep 2011 |
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JP |
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4783373 |
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Sep 2011 |
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JP |
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2011-251156 |
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Dec 2011 |
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JP |
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2012-040398 |
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Mar 2012 |
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JP |
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2012-517289 |
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Aug 2012 |
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JP |
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5140421 |
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Feb 2013 |
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JP |
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5162595 |
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Mar 2013 |
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JP |
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2013-128791 |
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Jul 2013 |
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JP |
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5212039 |
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Jul 2013 |
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JP |
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5333899 |
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Nov 2013 |
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JP |
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6007357 |
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Oct 2016 |
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JP |
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20110003229 |
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Jan 2011 |
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KR |
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2008830 |
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Mar 1994 |
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RU |
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2052979 |
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Jan 1996 |
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RU |
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2098025 |
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Dec 1997 |
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RU |
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2141279 |
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Nov 1999 |
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RU |
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2144791 |
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Jan 2000 |
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RU |
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2181566 |
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Apr 2002 |
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RU |
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2187249 |
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Aug 2002 |
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RU |
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2189091 |
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Sep 2002 |
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RU |
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32984 |
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Oct 2003 |
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RU |
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2225170 |
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Mar 2004 |
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RU |
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42750 |
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Dec 2004 |
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RU |
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61114 |
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Feb 2007 |
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RU |
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189517 |
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Jan 1967 |
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SU |
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328636 |
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Sep 1972 |
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SU |
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511939 |
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Apr 1976 |
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SU |
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674747 |
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Jul 1979 |
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SU |
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886900 |
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Dec 1981 |
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SU |
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1009439 |
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Apr 1983 |
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SU |
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1022703 |
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Jun 1983 |
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SU |
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1333319 |
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Aug 1987 |
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SU |
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1377053 |
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Feb 1988 |
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SU |
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1509051 |
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Sep 1989 |
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SU |
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1561964 |
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May 1990 |
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SU |
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1708312 |
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Jan 1992 |
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SU |
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1722476 |
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Mar 1992 |
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SU |
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1752361 |
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Aug 1992 |
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SU |
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1814161 |
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May 1993 |
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SU |
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WO 82/02824 |
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Sep 1982 |
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WO |
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WO 86/02254 |
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Apr 1986 |
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WO |
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WO 91/15157 |
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Oct 1991 |
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WO |
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WO 92/20295 |
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Nov 1992 |
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WO |
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WO 92/21300 |
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Dec 1992 |
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WO |
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WO 93/08755 |
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May 1993 |
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WO |
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WO 93/13718 |
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Jul 1993 |
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WO |
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WO 93/14690 |
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Aug 1993 |
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WO |
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WO 93/15648 |
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Aug 1993 |
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WO |
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WO 93/15850 |
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Aug 1993 |
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WO |
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WO 93/19681 |
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Oct 1993 |
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WO |
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WO 94/00060 |
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Jan 1994 |
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WO |
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WO 94/11057 |
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May 1994 |
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WO |
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WO 94/12108 |
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Jun 1994 |
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WO |
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WO 94/17737 |
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Aug 1994 |
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WO |
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WO 94/18893 |
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Sep 1994 |
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WO |
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WO 94/20030 |
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Sep 1994 |
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WO |
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WO 94/22378 |
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Oct 1994 |
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WO |
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WO 94/23659 |
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Oct 1994 |
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WO |
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WO 94/24943 |
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Nov 1994 |
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WO |
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WO 94/24947 |
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Nov 1994 |
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WO |
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WO 95/02369 |
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Jan 1995 |
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WO |
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WO 95/03743 |
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Feb 1995 |
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WO 95/06817 |
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Mar 1995 |
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WO |
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WO 95/09576 |
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Apr 1995 |
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WO 95/09577 |
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Apr 1995 |
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WO 95/14436 |
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Jun 1995 |
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WO 95/17855 |
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Jul 1995 |
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WO 95/18383 |
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Jul 1995 |
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WO 95/18572 |
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Jul 1995 |
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WO 95/19739 |
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Jul 1995 |
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WO 95/20360 |
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Aug 1995 |
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WO 95/23557 |
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Sep 1995 |
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WO 95/24865 |
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Sep 1995 |
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WO 95/25471 |
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Sep 1995 |
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WO 95/26562 |
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Oct 1995 |
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WO 95/29639 |
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Nov 1995 |
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WO 96/04858 |
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Feb 1996 |
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WO 96/18344 |
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WO 96/19151 |
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WO 96/19152 |
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WO 96/20652 |
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WO 96/21119 |
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WO 96/22055 |
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WO 96/23448 |
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Aug 1996 |
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WO 96/24301 |
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Aug 1996 |
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WO 96/27337 |
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Sep 1996 |
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WO 96/31155 |
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Oct 1996 |
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WO 96/35464 |
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Nov 1996 |
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WO 96/39085 |
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Dec 1996 |
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WO 96/39086 |
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Dec 1996 |
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WO 96/39087 |
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Dec 1996 |
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WO 96/39088 |
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Dec 1996 |
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Apr 1997 |
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Nov 1997 |
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|
Primary Examiner: Smith; Scott A.
Parent Case Text
CROSS-REFERENCE TO RELATED APPLICATIONS
This non-provisional patent application claims the benefit under 35
U.S.C. .sctn. 119(e) of U.S. Provisional Patent Application Ser.
No. 61/812,365, entitled SURGICAL INSTRUMENT WITH MULTIPLE
FUNCTIONS PERFORMED BY A SINGLE MOTOR, filed Apr. 16, 2013, which
is incorporated by reference herein in its entirety. This
non-provisional patent application also claims the benefit under 35
U.S.C. .sctn. 119(e) of U.S. Provisional Patent Application Ser.
No. 61/812,376, entitled LINEAR CUTTER WITH POWER, filed Apr. 16,
2013, which is incorporated by reference herein in its entirety.
This non-provisional patent application also claims the benefit
under 35 U.S.C. .sctn. 119(e) of U.S. Provisional Patent
Application Ser. No. 61/812,382, entitled LINEAR CUTTER WITH MOTOR
AND PISTOL GRIP, filed Apr. 16, 2013, which is incorporated by
reference herein in its entirety. This non-provisional patent
application also claims the benefit under 35 U.S.C. .sctn. 119(e)
of U.S. Provisional Patent Application Ser. No. 61/812,385,
entitled SURGICAL INSTRUMENT HANDLE WITH MULTIPLE ACTUATION MOTORS
AND MOTOR CONTROL, filed Apr. 16, 2013, which is incorporated by
reference herein in its entirety. This non-provisional patent
application also claims the benefit under 35 U.S.C. .sctn. 119(e)
of U.S. Provisional Patent Application Ser. No. 61/812,372,
entitled SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY A
SINGLE MOTOR, filed Apr. 16, 2013, which is incorporated by
reference herein in its entirety.
Claims
What is claimed is:
1. A surgical instrument, comprising: a handle comprising an
electric motor, wherein said electric motor comprises a rotatable
output; a shaft extending from said handle, wherein said shaft
defines a longitudinal axis; a fastener cartridge comprising a
plurality of fasteners removably stored therein; an anvil
configured to deform said fasteners; a closure drive configured to
move said anvil toward and away from said fastener cartridge,
wherein said closure drive comprises a rotatable closure drive
portion which is rotatable about said longitudinal axis; a firing
drive configured to deploy said fasteners from said fastener
cartridge, wherein said firing drive comprises a rotatable firing
drive portion which is rotatable about said longitudinal axis; and
a transmission, comprising: a first operating configuration in
which said transmission operably connects said rotatable output to
said closure drive; a second operating configuration in which said
transmission operably connects said rotatable output to said firing
drive; and a switch configured to switch said transmission between
said first operating configuration and said second operating
configuration.
2. A surgical instrument, comprising: a handle comprising an
electric motor, wherein said electric motor comprises a rotatable
output; a shaft extending from said handle, wherein said shaft
defines a longitudinal axis; a fastener cartridge comprising a
plurality of fasteners removably stored therein; an anvil
configured to deform said fasteners; a closure drive configured to
move said anvil toward and away from said fastener cartridge,
wherein said closure drive comprises a rotatable closure drive
portion which is rotatable about said longitudinal axis; a firing
drive configured to deploy said fasteners from said fastener
cartridge, wherein said firing drive comprises a rotatable firing
drive portion which is rotatable about said longitudinal axis; and
a transmission, comprising: a first operating configuration in
which said transmission operably connects said rotatable output to
said closure drive; a second operating configuration in which said
transmission operably connects said rotatable output to said firing
drive; a switch configured to switch said transmission between said
first operating configuration and said second operating
configuration; and a slidable collar, wherein said switch extends
from said slidable collar, wherein said switch comprises a gripping
portion, and wherein said slidable collar is slidable in a
direction parallel to said longitudinal axis.
3. The surgical instrument of claim 2, wherein said rotatable
closure drive portion comprises an aperture extending therethrough,
and wherein said firing drive portion extends through said
aperture.
4. The surgical instrument of claim 2, wherein said handle
comprises: a first actuator configured to operate said electric
motor when said transmission is in said first operating
configuration; and a second actuator configured to operate said
electric motor when said transmission is in said second operating
configuration.
5. The surgical instrument of claim 4, wherein said first actuator
is rotatable in a first direction to rotate said rotatable output
of said electric motor in a first direction, and wherein said first
actuator is rotatable in a second direction to rotate said
rotatable output of said electric motor in a second direction.
6. The surgical instrument of claim 4, further comprising: a first
sensor configured to detect the operation of said first actuator; a
second sensor configured to detect the operation of said second
actuator; and a processor configured to receive signals from said
first sensor and said second sensor, wherein said processor is
configured to ignore signals from said second sensor when said
transmission is in said first operating configuration, and wherein
said processor is configured to ignore signals from said first
sensor when said transmission is in said second operating
configuration.
7. A surgical instrument, comprising: a handle comprising an
electric motor, wherein said electric motor comprises a rotatable
output; a shaft extending from said handle, wherein said shaft
defines a longitudinal axis; a fastener cartridge comprising a
plurality of fasteners removably stored therein; an anvil
configured to deform said fasteners; a closure drive configured to
move said anvil toward and away from said fastener cartridge,
wherein said closure drive comprises a rotatable closure drive
portion which is rotatable about said longitudinal axis; a firing
drive configured to deploy said fasteners from said fastener
cartridge, wherein said firing drive comprises a rotatable firing
drive portion which is rotatable about said longitudinal axis; and
a transmission, comprising: a first operating configuration in
which said transmission operably connects said rotatable output to
said closure drive; a second operating configuration in which said
transmission operably connects said rotatable output to said firing
drive; a switch configured to switch said transmission between said
first operating configuration and said second operating
configuration; and a slidable collar, wherein said collar comprises
a first set of splines configured to engage said rotatable closure
drive portion when said transmission is in said first operating
configuration, and wherein said collar comprises a second set of
splines configured to engage said rotatable firing drive portion
when said transmission is in said second operating
configuration.
8. A surgical instrument, comprising: a handle, comprising: an
electric motor, wherein said electric motor comprises a rotatable
output; and a longitudinal axis; a shaft extending from said
handle; an end effector extending from said shaft; a first drive
configured to perform a first end effector function, wherein said
first drive comprises a rotatable first drive portion which is
rotatable about said longitudinal axis; a second drive configured
to perform a second end effector function, wherein said second
drive comprises a rotatable second drive portion which is rotatable
about said longitudinal axis; and a transmission, comprising: a
first operating configuration in which said transmission operably
connects said rotatable output to said first drive; a second
operating configuration in which said transmission operably
connects said rotatable output to said second drive; a switch
configured to switch said transmission between said first operating
configuration and said second operating configuration; and a
slidable collar, wherein said switch extends from said slidable
collar, and wherein said slidable collar is slidable in a direction
parallel to said longitudinal axis.
9. The surgical instrument of claim 8, wherein said handle
comprises: a first actuator configured to operate said electric
motor when said transmission is in said first operating
configuration; and a second actuator configured to operate said
electric motor when said transmission is in said second operating
configuration.
10. The surgical instrument of claim 9, wherein said first actuator
is rotatable in a first direction to rotate said rotatable output
of said electric motor in a first direction, and wherein said first
actuator is rotatable in a second direction to rotate said
rotatable output of said electric motor in a second direction.
11. The surgical instrument of claim 9, further comprising: a first
sensor configured to detect the operation of said first actuator; a
second sensor configured to detect the operation of said second
actuator; and a processor configured to receive signals from said
first sensor and said second sensor, wherein said processor is
configured to ignore signals from said second sensor when said
transmission is in said first operating configuration, and wherein
said processor is configured to ignore signals from said first
sensor when said transmission is in said second operating
configuration.
12. The surgical instrument of claim 8, wherein said end effector
comprises a fastener cartridge.
13. A surgical instrument, comprising: a housing comprising an
electric motor, wherein said electric motor comprises a rotatable
output; a shaft extending from said housing, wherein said shaft
defines a longitudinal axis; a first jaw; a second jaw; a firing
bar, wherein said firing bar is moveable relative to said first
jaw; a closure drive configured to move said first jaw toward said
second jaw, wherein said closure drive is rotatable about said
longitudinal axis; a firing drive configured to drive said firing
bar, wherein said firing drive is rotatable about said longitudinal
axis; and a transmission, comprising: a first operating
configuration in which said transmission operably connects said
rotatable output to said closure drive; a second operating
configuration in which said transmission operably connects said
rotatable output to said firing drive; and a slidable collar,
wherein said slidable collar comprises a first spline configured to
engage said closure drive when said transmission is in said first
operating configuration, and wherein said slidable collar comprises
a second spline configured to engage said firing drive when said
transmission is in said second operating configuration.
14. A surgical instrument, comprising: a housing comprising an
electric motor, wherein said electric motor comprises a rotatable
output; a shaft extending from said housing, wherein said shaft
defines a longitudinal axis; a first jaw; a second jaw; a closure
drive configured to move said first jaw toward said second jaw,
wherein said closure drive is rotatable about said longitudinal
axis; a firing drive configured to move relative to said housing,
wherein said firing drive is rotatable about said longitudinal
axis; and a transmission, comprising: a first operating
configuration in which said transmission operably connects said
rotatable output to said closure drive; a second operating
configuration in which said transmission operably connects said
rotatable output to said firing drive; and a slidable collar
configured to engage said closure drive when said transmission is
in said first operating configuration, and wherein said slidable
collar is configured to engage said firing drive when said
transmission is in said second operating configuration.
15. A surgical assembly, comprising: a housing comprising an
electric motor, wherein said electric motor comprises a rotatable
output; a shaft extending from said housing, wherein said shaft
defines a longitudinal axis; a staple cartridge comprising a
plurality of staples removably stored therein; an anvil configured
to deform said staples; a closure drive configured to move said
anvil toward said staple cartridge, wherein said closure drive
comprises a rotatable closure drive portion which is rotatable
about said longitudinal axis; a firing drive configured to deploy
said staples from said staple cartridge, wherein said firing drive
comprises a rotatable firing drive portion which is rotatable about
said longitudinal axis; and a transmission, comprising: a first
operating configuration in which said transmission operably
connects said rotatable output to said closure drive; a second
operating configuration in which said transmission operably
connects said rotatable output to said firing drive; and a switch
configured to switch said transmission between said first operating
configuration and said second operating configuration.
16. The surgical assembly of claim 15, wherein said staple
cartridge is replaceable.
17. The surgical assembly of claim 15, wherein the housing further
comprises an electrical input configured to connect said surgical
assembly to an external power source.
18. The surgical assembly of claim 15, wherein said housing
comprises a releasable latch.
19. The surgical assembly of claim 15, wherein said anvil is
moveable relative to said staple cartridge between an unclamped
position and a clamped position.
20. The surgical assembly of claim 19, wherein said firing drive
further comprises a cutting member that does not cam said anvil
into said clamped position.
21. The surgical assembly of claim 19, wherein said firing drive
does not control the position of said anvil relative to said staple
cartridge.
22. The surgical assembly of claim 19, wherein said surgical
assembly further comprises an indicator configured to provide
visual feedback to a user of said surgical assembly when said anvil
is in said clamped position.
23. The surgical assembly of claim 15, wherein said staple
cartridge is replaceable, wherein said anvil is moveable relative
to said staple cartridge between an unclamped position and a
clamped position, wherein said firing drive does not control the
position of said anvil relative to said staple cartridge, and
wherein said surgical assembly further comprises: an electrical
input configured to connect said surgical assembly to an external
power source; an indicator configured to provide visual feedback to
a user of said surgical assembly when said anvil is in said clamped
position; and a release latch.
Description
BACKGROUND
Various forms of the invention relate to surgical instruments and,
in various embodiments, to surgical cutting and stapling
instruments and staple cartridges therefor that are designed to cut
and staple tissue.
BRIEF DESCRIPTION OF THE DRAWINGS
The various features and advantages of this invention and the
manner of attaining them will become more apparent and the
invention itself will be better understood by reference to the
following description of embodiments of the invention taken in
conjunction with the accompanying drawings, wherein:
FIG. 1 is a perspective view of a modular surgical system that
includes a motor-driven surgical instrument and three
interchangeable end effectors;
FIG. 2 is a side perspective view of the motor-driven surgical
instrument with a portion of the handle housing removed for
clarity;
FIG. 3 is a partial exploded assembly view of the surgical
instrument of FIG. 2;
FIG. 4 is another partial exploded assembly view of the surgical
instrument of FIGS. 2 and 3;
FIG. 5 is a side elevational view of the motor-driven surgical
instrument with a portion of the handle housing removed;
FIG. 6 is a perspective view of a motor drive system and
transmission assembly with the transmission assembly in the first
drive position wherein actuation of the motor will result in the
actuation of a first drive system of the surgical instrument of
FIGS. 2-5;
FIG. 6A is a perspective view of an alternative transmission
carriage with locking means;
FIG. 6B is a perspective view of a motor drive system and
transmission assembly including the transmission carriage of FIG.
6A with the transmission assembly in the first drive position
wherein actuation of the motor will result in the actuation of the
first drive system and the second drive system is locked by the
locking means;
FIG. 6C is a perspective view of the motor drive system and
transmission assembly of FIG. 6B with the transmission assembly in
the second drive position wherein actuation of the motor will
result in the actuation of the second drive system and the first
drive system is locked by the locking means;
FIG. 7 is another perspective view of the motor drive system and
transmission assembly of FIG. 6 with the transmission assembly in
the second drive position wherein actuation of the motor will
result in the actuation of the second drive system;
FIG. 8 is a side elevational view of another motor-driven surgical
instrument with a portion of the handle housing and other portions
thereof omitted for clarity;
FIG. 9 is a perspective view of the motor, transmission assembly
and first and second drive systems of the surgical instrument of
FIG. 8 with the transmission assembly thereof in the first drive
position;
FIG. 10 is a cross-sectional elevational view of the motor,
transmission assembly and first and second drive systems of FIG. 9
with the transmission assembly in the first drive position;
FIG. 11 is another perspective view of the motor, transmission
assembly and first and second drive systems of FIGS. 9 and 10 with
the transmission assembly in the second drive position;
FIG. 12 is another cross-sectional elevational view of the motor,
transmission assembly and first and second drive systems of FIGS.
9-11 with the transmission assembly in the second drive
position;
FIG. 13 is a partial rear perspective view of a portion of another
motor driven surgical instrument;
FIG. 14 is a side elevational view of the motor, transmission
assembly and first and second drive systems of the surgical
instrument of FIG. 13;
FIG. 15 is a cross-sectional view of the transmission assembly of
the surgical instrument of FIGS. 13 and 14 in a first drive
position;
FIG. 16 is another cross-sectional view of the transmission
assembly of the surgical instrument of FIGS. 13-15 in a second
drive position;
FIG. 17 is a perspective view of another motor driven surgical
instrument arrangement with a portion of the housing removed for
clarity;
FIG. 18 is a perspective view of a motor, transmission assembly and
first and second drive systems of the surgical instrument of FIG.
17;
FIG. 19 is an exploded assembly view of the motor, transmission
assembly and first and second drive systems of FIG. 18;
FIG. 20 is a cross-sectional view of portions of the motor,
transmission assembly and first and second drive systems of FIGS.
18 and 19 with the transmission shaft assembly thereof in a first
drive position;
FIG. 21 is another cross-sectional view of the portions of the
motor, transmission assembly and first and second drive systems of
FIG. 20 with the transmission shaft assembly thereof in a second
drive position;
FIG. 22 is a perspective view of another motor, transmission
assembly and first and second drive systems of one form of a
surgical instrument of the present invention;
FIG. 23 is an exploded assembly view of the motor, transmission
assembly and first and second drive systems of FIG. 22;
FIG. 24 is a cross-sectional view of the motor, transmission
assembly and first and second drive systems of FIGS. 22 and 23 with
the transmission assembly in first drive position;
FIG. 25 is another cross-sectional view of the motor, transmission
assembly and first and second drive systems of FIGS. 22-24 with the
transmission assembly in a second drive position;
FIG. 26 is another cross-sectional view of the motor and
transmission assembly of FIGS. 22-25 with the transmission assembly
in the first drive position;
FIG. 27 is another cross-sectional view of the motor and
transmission assembly of FIGS. 22-26 with the transmission assembly
in the second drive position;
FIG. 28 is a side elevational view of a portion of another motor
driven surgical instrument with a portion of the housing omitted
for clarity;
FIG. 29 is a perspective view of a portion of another motor driven
surgical instrument with a portion of the housing omitted for
clarity;
FIG. 30 is a front perspective view of a motor driven unit with
first and second rotary drive systems;
FIG. 31 is a bottom perspective view of the motor driven unit of
FIG. 30;
FIG. 32 is a perspective view of the motor driven unit of FIGS. 31
and 32 with the housing removed therefrom;
FIG. 33 is an exploded assembly view of a mechanical coupling
system for operably coupling four rotary drive shafts together;
FIG. 34 is a front perspective view of a surgical end effector with
a portion of the end effector housing removed for clarity;
FIG. 35 is another front perspective view of the surgical end
effector of FIG. 34 with portions of the closure system and lower
jaw omitted for clarity;
FIG. 36 is an exploded perspective assembly view of the surgical
end effector of FIGS. 34 and 35;
FIG. 37 is a side elevational view of the surgical end effector of
FIGS. 33-36 with a portion of the housing omitted for clarity;
FIG. 38 is a left side perspective view of another end effector
arrangement with a portion of the end effector housing omitted for
clarity;
FIG. 39 is an exploded assembly view of the end effector of FIG.
38;
FIG. 40 is a right side perspective view of the end effector
arrangement of FIGS. 37 and 38 with another portion of the end
effector housing omitted for clarity;
FIG. 41 is a cross-sectional view of the surgical end effector
arrangement of FIGS. 38-40;
FIG. 42 is a cross-sectional perspective view of another surgical
end effector;
FIG. 43 is a partial exploded assembly view of the surgical end
effector of FIG. 42;
FIG. 44 is another partial perspective view of a portion of the
surgical end effector of FIGS. 42 and 43;
FIG. 45 is another cross-sectional view of the surgical end
effector of FIGS. 42-44;
FIG. 46 is a perspective view of an end effector arrangement with a
drive disengagement assembly;
FIG. 47 is a partial perspective view of the surgical end effector
of FIG. 46 with portions thereof omitted for clarity and with the
proximal drive train portion of the closure system detached from
the distal drive train portion of the closure system;
FIG. 48 is a partial perspective view of the surgical end effector
of FIGS. 46 and 47 with portions thereof omitted for clarity and
with the distal coupler member seated within the slot in the
proximal coupler member and the drive coupler pin removed
therefrom;
FIG. 49 is another partial perspective view of the surgical end
effector of FIG. 48 showing portions of the end effector firing
system;
FIG. 50 is a perspective view of another surgical end effector
arrangement;
FIG. 50A is an enlarged view of a portion of the surgical end
effector of FIG. 50;
FIG. 51 is a perspective view of a portion of the end effector of
FIG. 50 with a portion of the housing omitted for clarity;
FIG. 52 is another perspective view of the end effector of FIGS. 50
and 51 with portions of the housing and closure system omitted for
clarity;
FIG. 53 is another perspective view of the end effector of FIGS.
50-52 with portions of the closure system and a portion of the
housing omitted for clarity;
FIG. 54 is a perspective view of another end effector that is
equipped with a drive disengagement assembly;
FIG. 55 is a side elevational view of the end effector of FIG.
54;
FIG. 56 is a perspective view of a portion of the end effector of
FIGS. 54 and 55 with a portion of the end effector housing omitted
for clarity;
FIG. 57 is another perspective view of the end effector of FIGS.
54-56 with the tool head thereof in a closed position;
FIG. 58 is a another partial perspective view of the end effector
of FIG. 57 with a portion of the end effector housing omitted for
clarity;
FIG. 59 is another perspective view of the end effector of FIG. 58
with the drive coupler pin removed;
FIG. 60 is another perspective view of the end effector of FIG. 59
with the drive coupler pin removed and the closure drive beam
assembly moved proximally to open the tool head;
FIG. 61 is a block diagram of a modular motor driven surgical
instrument comprising a handle portion and a shaft portion;
FIG. 62 is a table depicting total time to complete a stroke and
load current requirements for various operations of various device
shafts;
FIG. 63, which is divided into FIGS. 63-A and 63-B, is a detail
diagram of the electrical system in the handle portion of the
modular motor driven surgical instrument;
FIG. 64 is block diagram of the electrical system of the handle and
shaft portions of the modular motor driven surgical instrument;
FIG. 65 illustrates a mechanical switching motion control system to
eliminate microprocessor control of motor functions;
FIG. 66 is a perspective view of a coupling arrangement comprising
a coupler housing and a pair of sockets positioned within the
coupler housing, according to various embodiments of the present
disclosure;
FIG. 67 is a cross-sectional, perspective view of the coupling
arrangement of FIG. 66, depicting a pair of drive members uncoupled
to the pair of sockets and further depicting the coupling
arrangement in an unlocked configuration, according to various
embodiments of the present disclosure;
FIG. 68 is a cross-sectional, perspective view of the coupling
arrangement of FIG. 66, depicting the pair of drive members coupled
to the pair of sockets and further depicting the coupling
arrangement in a locked configuration, according to various
embodiments of the present disclosure;
FIG. 69 is a cross-sectional, perspective view of the coupling
arrangement of FIG. 66, depicting the pair of drive members coupled
to the pair of sockets and further depicting the coupling
arrangement in an unlocked configuration, according to various
embodiments of the present disclosure;
FIG. 70 is a perspective view of an insert of the coupling
arrangement of FIG. 66, according to various embodiments of the
present disclosure;
FIG. 71 is a perspective view of a socket of the coupling
arrangement of FIG. 66, according to various embodiments of the
present disclosure;
FIG. 72 is a perspective view of a latch of the coupling
arrangement of FIG. 66, according to various embodiments of the
present disclosure;
FIG. 73 is a cross-sectional, perspective view of a surgical end
effector attachment for use with a surgical instrument handle,
according to various embodiments of the present disclosure;
FIG. 74 is an exploded, perspective view of drive systems of the
surgical end effector attachment of FIG. 73, according to various
embodiments of the present disclosure;
FIG. 75 is a perspective view of a handle for a surgical
instrument, wherein the handle comprises a drive system having a
first output drive assembly and a second output drive assembly,
according to various embodiments of the present disclosure;
FIG. 76 is a perspective view of the drive system of FIG. 75,
according to various embodiments of the present disclosure;
FIG. 77 is a cross-sectional, elevation view of the handle of FIG.
75, depicting the drive system engaged with the first output drive
assembly and disengaged from the second output drive assembly,
according to various embodiments of the present disclosure;
FIG. 78 is a cross-sectional, elevation view of the drive system of
FIG. 75, depicting the drive system engaged with the second output
drive assembly and disengaged from the first output drive assembly,
according to various embodiments of the present disclosure;
FIG. 79 is a partial cross-sectional perspective view of a surgical
instrument including a rotatable drive shaft, a closure drive
operable by said drive shaft, and a firing drive operable by said
drive shaft, wherein the closure drive is illustrated in a
partially open configuration and the firing drive is illustrated in
an unfired configuration;
FIG. 80 is a perspective view of the rotatable drive shaft of FIG.
79;
FIG. 81 is a partial cross-sectional perspective view of the
surgical instrument of FIG. 79 illustrated with the closure drive
in an open configuration and the firing drive in an unfired
configuration;
FIG. 82 is a partial cross-sectional perspective view of the
surgical instrument of FIG. 79 illustrated with the closure drive
in a closed configuration and the firing drive in an unfired
configuration;
FIG. 83 is a partial cross-sectional perspective view of the
surgical instrument of FIG. 79 illustrated with the closure drive
in a closed configuration and the firing drive in a fired
configuration;
FIG. 84 is a partial cross-sectional perspective view of the
surgical instrument of FIG. 79 illustrated with the firing drive in
a retracted configuration and the closure drive in the process of
being re-opened;
FIG. 85 is a partial cross-sectional view of an end effector and a
shaft of a surgical instrument illustrated in a closed, unfired
configuration;
FIG. 86 is a perspective view of a transmission for operating the
surgical instrument of FIG. 85 illustrated in a configuration which
corresponds with the configuration of FIG. 85;
FIG. 87 is an exploded view of the transmission of FIG. 86;
FIG. 88 is a partial cross-sectional view of the end effector and
the shaft of FIG. 85 illustrated in an open, unfired
configuration;
FIG. 89 is a perspective view of the transmission of FIG. 86
illustrated in a configuration which corresponds with the
configuration illustrated in FIG. 88;
FIG. 90 is a partial cross-sectional view of the end effector and
the shaft of FIG. 85 illustrated in a closed, unfired
configuration;
FIG. 91 is a perspective view of the transmission of FIG. 86
illustrated in a configuration which corresponds with the
configuration illustrated in FIG. 90;
FIG. 92 is a partial cross-sectional view of the end effector and
the shaft of FIG. 85 illustrated in a closed, fired
configuration;
FIG. 93 is a perspective view of the transmission of FIG. 86
illustrated in a configuration which corresponds with the
configuration illustrated in FIG. 92;
FIG. 94 is a perspective view of a surgical stapling instrument in
accordance with at least one embodiment;
FIG. 95 is an exploded view of a handle of the surgical stapling
instrument of FIG. 94;
FIG. 96 is an exploded view of an end effector of the surgical
stapling instrument of FIG. 94;
FIG. 97 is a partial perspective view of a motor and gear assembly
of the surgical stapling instrument of FIG. 94;
FIG. 98 is a cross-sectional elevational view of the surgical
stapling instrument of FIG. 94;
FIG. 99 is a perspective view of a surgical stapling instrument in
accordance with at least one embodiment illustrated in an open,
unlatched condition;
FIG. 100 is a perspective view of the surgical stapling instrument
of FIG. 99 illustrated in a closed, unlatched condition;
FIG. 101 is a perspective view of the surgical stapling instrument
of FIG. 99 illustrated in a closed, latched condition;
FIG. 102 is a plan view of the surgical stapling instrument of FIG.
99;
FIG. 103 is a cross-sectional view of the surgical stapling
instrument of FIG. 99;
FIG. 104 is a detail cross-sectional view of the surgical stapling
instrument of FIG. 99;
FIG. 105 is an exploded view of a firing drive of the surgical
stapling instrument of FIG. 99;
FIG. 106 is an exploded view of a closing drive of the surgical
stapling instrument of FIG. 99;
FIG. 107 is a cross-sectional view of a surgical stapling
instrument in accordance with at least one embodiment comprising a
handle, a shaft, and an end effector;
FIG. 108 is a cross-sectional view of the handle of the surgical
stapling instrument of FIG. 107 illustrated in an open
configuration;
FIG. 109 is a cross-sectional view of the handle of the surgical
stapling instrument of FIG. 107 illustrated in a closed
configuration;
FIG. 110 is a perspective view of the handle of the surgical
stapling instrument of FIG. 107 illustrated with some components
removed;
FIG. 111 is a perspective view of a surgical stapling instrument in
accordance with at least one embodiment comprising a handle and a
shaft;
FIG. 112 is a perspective view of the surgical stapling instrument
of FIG. 111 illustrating the handle detached from the shaft;
FIG. 113 is an exploded view of the surgical stapling instrument of
FIG. 111;
FIG. 114 is a partial cross-sectional view of the handle of FIG.
111 illustrating a transmission operably engaged with a closure
system of the surgical stapling instrument of FIG. 111;
FIG. 115 is a partial cross-sectional view of the handle of FIG.
111 illustrating the transmission of FIG. 114 operably engaged with
a firing system of the surgical stapling instrument of FIG.
111;
FIG. 116 is an exploded view of the transmission of FIG. 114;
FIG. 117 is a perspective view of a surgical stapling instrument in
accordance with at least one embodiment illustrated with some
components removed and illustrated in an open configuration;
FIG. 118 is a perspective view of the surgical stapling instrument
of FIG. 117 illustrated with some components removed and
illustrated in a closed configuration;
FIG. 119 is a perspective view of another end effector arrangement
and a staple pack embodiment therefor prior to installing the
staple pack into the end effector;
FIG. 120 is another perspective view of the end effector and staple
pack of FIG. 119 with the staple pack installed into the end
effector; and
FIG. 121 is another perspective view of the end effector and staple
pack of FIG. 120 with the keeper member of the staple pack removed
therefrom.
Corresponding reference characters indicate corresponding parts
throughout the several views. The exemplifications set out herein
illustrate preferred embodiments of the invention, in one form, and
such exemplifications are not to be construed as limiting the scope
of the invention in any manner.
DETAILED DESCRIPTION
Applicant of the present application owns the following patent
applications that were filed on Mar. 1, 2013 and which are each
herein incorporated by reference in their respective
entireties:
U.S. patent application Ser. No. 13/782,295, entitled ARTICULATABLE
SURGICAL INSTRUMENTS WITH CONDUCTIVE PATHWAYS FOR SIGNAL
COMMUNICATION;
U.S. patent application Ser. No. 13/782,323, entitled ROTARY
POWERED ARTICULATION JOINTS FOR SURGICAL INSTRUMENTS;
U.S. patent application Ser. No. 13/782,338, entitled THUMBWHEEL
SWITCH ARRANGEMENTS FOR SURGICAL INSTRUMENTS;
U.S. patent application Ser. No. 13/782,499, entitled
ELECTROMECHANICAL SURGICAL DEVICE WITH SIGNAL RELAY
ARRANGEMENT;
U.S. patent application Ser. No. 13/782,460, entitled MULTIPLE
PROCESSOR MOTOR CONTROL FOR MODULAR SURGICAL INSTRUMENTS;
U.S. patent application Ser. No. 13/782,358, entitled JOYSTICK
SWITCH ASSEMBLIES FOR SURGICAL INSTRUMENTS;
U.S. patent application Ser. No. 13/782,481, entitled SENSOR
STRAIGHTENED END EFFECTOR DURING REMOVAL THROUGH TROCAR;
U.S. patent application Ser. No. 13/782,518, entitled CONTROL
METHODS FOR SURGICAL INSTRUMENTS WITH REMOVABLE IMPLEMENT
PORTIONS;
U.S. patent application Ser. No. 13/782,375, entitled ROTARY
POWERED SURGICAL INSTRUMENTS WITH MULTIPLE DEGREES OF FREEDOM;
and
U.S. patent application Ser. No. 13/782,536, entitled SURGICAL
INSTRUMENT SOFT STOP are hereby incorporated by reference in their
entireties.
Applicant of the present application also owns the following patent
applications that were filed on Mar. 14, 2013 and which are each
herein incorporated by reference in their respective
entireties:
U.S. patent application Ser. No. 13/803,097, entitled ARTICULATABLE
SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE;
U.S. patent application Ser. No. 13/803,193, entitled CONTROL
ARRANGEMENTS FOR A DRIVE MEMBER OF A SURGICAL INSTRUMENT;
U.S. patent application Ser. No. 13/803,053, entitled
INTERCHANGEABLE SHAFT ASSEMBLIES FOR USE WITH A SURGICAL
INSTRUMENT;
U.S. patent application Ser. No. 13/803,086, entitled ARTICULATABLE
SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK;
U.S. patent application Ser. No. 13/803,210, entitled SENSOR
ARRANGEMENTS FOR ABSOLUTE POSITIONING SYSTEM FOR SURGICAL
INSTRUMENTS;
U.S. patent application Ser. No. 13/803,148, entitled
MULTI-FUNCTION MOTOR FOR A SURGICAL INSTRUMENT;
U.S. patent application Ser. No. 13/803,066, entitled DRIVE SYSTEM
LOCKOUT ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS;
U.S. patent application Ser. No. 13/803,117, entitled ARTICULATION
CONTROL SYSTEM FOR ARTICULATABLE SURGICAL INSTRUMENTS;
U.S. patent application Ser. No. 13/803,130, entitled DRIVE TRAIN
CONTROL ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS; and
U.S. patent application Ser. No. 13/803,159, entitled METHOD AND
SYSTEM FOR OPERATING A SURGICAL INSTRUMENT.
Applicant of the present application also owns the following patent
applications that were filed on Mar. 25, 2014 and are each herein
incorporated by reference in their respective entireties:
U.S. patent application Ser. No. 14/226,106, entitled POWER
MANAGEMENT CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS;
U.S. patent application Ser. No. 14/226,099, entitled STERILIZATION
VERIFICATION CIRCUIT;
U.S. patent application Ser. No. 14/226,094, entitled VERIFICATION
OF NUMBER OF BATTERY EXCHANGES/PROCEDURE COUNT;
U.S. patent application Ser. No. 14/226,117, entitled POWER
MANAGEMENT THROUGH SLEEP OPTIONS OF SEGMENTED CIRCUIT AND WAKE UP
CONTROL;
U.S. patent application Ser. No. 14/226,075, entitled MODULAR
POWERED SURGICAL INSTRUMENT WITH DETACHABLE SHAFT ASSEMBLIES;
U.S. patent application Ser. No. 14/226,093, entitled FEEDBACK
ALGORITHMS FOR MANUAL BAILOUT SYSTEMS FOR SURGICAL INSTRUMENTS;
U.S. patent application Ser. No. 14/226,116, entitled SURGICAL
INSTRUMENT UTILIZING SENSOR ADAPTATION;
U.S. patent application Ser. No. 14/226,071, entitled SURGICAL
INSTRUMENT CONTROL CIRCUIT HAVING A SAFETY PROCESSOR;
U.S. patent application Ser. No. 14/226,097, entitled SURGICAL
INSTRUMENT COMPRISING INTERACTIVE SYSTEMS;
U.S. patent application Ser. No. 14/226,126, entitled INTERFACE
SYSTEMS FOR USE WITH SURGICAL INSTRUMENTS;
U.S. patent application Ser. No. 14/226,133, entitled MODULAR
SURGICAL INSTRUMENT SYSTEM;
U.S. patent application Ser. No. 14/226,081, entitled SYSTEMS AND
METHODS FOR CONTROLLING A SEGMENTED CIRCUIT;
U.S. patent application Ser. No. 14/226,076, entitled POWER
MANAGEMENT THROUGH SEGMENTED CIRCUIT AND VARIABLE VOLTAGE
PROTECTION;
U.S. patent application Ser. No. 14/226,111, entitled SURGICAL
STAPLING INSTRUMENT SYSTEM; and
U.S. patent application Ser. No. 14/226,125, entitled SURGICAL
INSTRUMENT COMPRISING A ROTATABLE SHAFT.
Applicant of the present application also owns the following patent
applications that were filed on even date herewith and which are
each herein incorporated by reference in their respective
entireties:
U.S. patent application Ser. No. 14/248,590, entitled MOTOR DRIVEN
SURGICAL INSTRUMENTS WITH LOCKABLE DUAL DRIVE SHAFTS;
U.S. patent application Ser. No. 14/248,581, entitled SURGICAL
INSTRUMENT COMPRISING A CLOSING DRIVE AND A FIRING DRIVE OPERATED
FROM THE SAME ROTATABLE OUTPUT;
U.S. patent application Ser. No. 14/248,595, entitled SURGICAL
INSTRUMENT SHAFT INCLUDING SWITCHES FOR CONTROLLING THE OPERATION
OF THE SURGICAL INSTRUMENT;
U.S. patent application Ser. No. 14/248,588, entitled POWERED
LINEAR SURGICAL STAPLER;
U.S. patent application Ser. No. 14/248,591, entitled TRANSMISSION
ARRANGEMENT FOR A SURGICAL INSTRUMENT;
U.S. patent application Ser. No. 14/248,584, entitled MODULAR MOTOR
DRIVEN SURGICAL INSTRUMENTS WITH ALIGNMENT FEATURES FOR ALIGNING
ROTARY DRIVE SHAFTS WITH SURGICAL END EFFECTOR SHAFTS;
U.S. patent application Ser. No. 14/248,586, entitled DRIVE SYSTEM
DECOUPLING ARRANGEMENT FOR A SURGICAL INSTRUMENT; and
U.S. patent application Ser. No. 14/248,607, entitled MODULAR MOTOR
DRIVEN SURGICAL INSTRUMENTS WITH STATUS INDICATION
ARRANGEMENTS.
Certain exemplary embodiments will now be described to provide an
overall understanding of the principles of the structure, function,
manufacture, and use of the devices and methods disclosed herein.
One or more examples of these embodiments are illustrated in the
accompanying drawings. Those of ordinary skill in the art will
understand that the devices and methods specifically described
herein and illustrated in the accompanying drawings are
non-limiting exemplary embodiments and that the scope of the
various embodiments of the present invention is defined solely by
the claims. The features illustrated or described in connection
with one exemplary embodiment may be combined with the features of
other embodiments. Such modifications and variations are intended
to be included within the scope of the present invention.
Reference throughout the specification to "various embodiments,"
"some embodiments," "one embodiment," or "an embodiment", or the
like, means that a particular feature, structure, or characteristic
described in connection with the embodiment is included in at least
one embodiment. Thus, appearances of the phrases "in various
embodiments," "in some embodiments," "in one embodiment", or "in an
embodiment", or the like, in places throughout the specification
are not necessarily all referring to the same embodiment.
Furthermore, the particular features, structures, or
characteristics may be combined in any suitable manner in one or
more embodiments. Thus, the particular features, structures, or
characteristics illustrated or described in connection with one
embodiment may be combined, in whole or in part, with the features
structures, or characteristics of one or more other embodiments
without limitation. Such modifications and variations are intended
to be included within the scope of the present invention.
The terms "proximal" and "distal" are used herein with reference to
a clinician manipulating the handle portion of the surgical
instrument. The term "proximal" referring to the portion closest to
the clinician and the term "distal" referring to the portion
located away from the clinician. It will be further appreciated
that, for convenience and clarity, spatial terms such as
"vertical", "horizontal", "up", and "down" may be used herein with
respect to the drawings. However, surgical instruments are used in
many orientations and positions, and these terms are not intended
to be limiting and/or absolute.
Various exemplary devices and methods are provided for performing
laparoscopic and minimally invasive surgical procedures. However,
the person of ordinary skill in the art will readily appreciate
that the various methods and devices disclosed herein can be used
in numerous surgical procedures and applications including, for
example, in connection with open surgical procedures. As the
present Detailed Description proceeds, those of ordinary skill in
the art will further appreciate that the various instruments
disclosed herein can be inserted into a body in any way, such as
through a natural orifice, through an incision or puncture hole
formed in tissue, etc. The working portions or end effector
portions of the instruments can be inserted directly into a
patient's body or can be inserted through an access device that has
a working channel through which the end effector and elongated
shaft of a surgical instrument can be advanced.
Turning to the Drawings wherein like numerals denote like
components throughout the several views, FIG. 1 depicts a modular
surgical instrument system generally designated as 2 that, in one
form, includes a motor driven surgical instrument 10 that may be
used in connection with a variety of surgical end effectors such
as, for example, end effectors 1000, 2000 and 3000. In the
illustrated embodiment, the motor driven surgical instrument 10
includes a housing 12 that consists of a handle 14 that is
configured to be grasped, manipulated and actuated by a clinician.
As the present Detailed Description proceeds, it will be understood
that the various unique and novel drive system arrangements
depicted in connection with handle 14 as well as the various end
effector arrangements disclosed herein may also be effectively
employed in connection with robotically-controlled surgical
systems. Thus, the term "housing" may also encompass a housing or
similar portion of a robotic system that may house or otherwise
operably support various forms of the drive systems depicted herein
and which may be configured to generate control motions which could
be used to actuate the end effector arrangements described herein
and their respective equivalent structures. The term "frame" may
refer to a portion of a handheld surgical instrument. The term
"frame" may also represent a portion of a motor driven system or a
robotically controlled surgical instrument and/or a portion of the
robotic system that may be used to operably control a surgical
instrument. For example, the drive system arrangements and end
effector arrangements disclosed herein may be employed with various
robotic systems, instruments, components and methods disclosed in
U.S. patent application Ser. No. 13/118,241, entitled SURGICAL
STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS,
now U.S. Patent Application Publication No. 2012/0298719 which is
hereby incorporated by reference herein in its entirety.
Referring now to FIGS. 2-5, the handle 14 may comprise a pair of
handle housing segments 16 and 18 that may be interconnected by
screws, snap features, adhesive, etc. In the illustrated
arrangement, the handle housing segments 16, 18 cooperate to form a
pistol grip portion 19 that can be gripped and manipulated by the
clinician. As will be discussed in further detail below, the handle
14 operably supports two rotary drive systems 20, 40 therein that
are configured to generate and apply various control motions to
corresponding drive shaft portions of a particular end effector
coupled thereto. The first rotary drive system 20 may, for example,
be employed to apply "closure" motions to a corresponding closure
drive shaft arrangement that is operably supported in an end
effector and the second rotary drive system 40 may be employed to
apply "firing" motions to a corresponding firing drive shaft
arrangement in the end effector that is coupled thereto.
The first and second rotary drive systems 20, 40 are powered by a
motor 80 through a unique and novel "shiftable" transmission
assembly 60 that essentially shifts power/motion between two power
trains. The first rotary drive system 20 includes a first rotary
drive shaft 22 that is rotatably supported in the housing 12 of the
handle 14 and defines a first drive shaft axis "FDA-FDA". A first
drive gear 24 is keyed onto or otherwise non-rotatably affixed to
the first rotary drive shaft 22 for rotation therewith about the
first drive shaft axis FDA-FDA. Similarly, the second rotary drive
system 40 includes a second rotary drive shaft 42 that is rotatably
supported in the housing 12 of the handle 14 and defines a second
drive shaft axis "SDA-SDA". In at least one arrangement, the second
drive shaft axis SDA-SDA is offset from and parallel or is
substantially parallel to the first drive shaft axis FDA-FDA. As
used in this context, the term "offset" means that the first and
second drive shaft axes are not coaxial for example. The second
rotary drive shaft 42 has a second drive gear 44 keyed onto or
otherwise non-rotatably affixed to the second drive shaft 42 for
rotation therewith about the second drive shaft axis SDA-SDA. In
addition, the second drive shaft 42 has an intermediate drive gear
46 rotatably journaled thereon such that the intermediate drive
gear 46 is freely rotatable on the second rotary drive shaft 42
about the second drive shaft axis SDA-SDA.
Referring to FIGS. 2-5, in one form, the motor 80 includes a motor
output shaft 81 that has a motor drive gear 82 non-rotatably
attached thereto. The motor drive gear 82 is configured for
intermeshing "operable" engagement with the transmission assembly
60 as will be discussed in further detail below. In at least one
form, the transmission assembly 60 includes a transmission carriage
62 that is supported for axial travel between the drive gear 82 and
gears 44 and 46 on the second rotary drive shaft 42. For example,
the transmission carriage 62 may be slidably journaled on a support
shaft 63 that is mounted within the housing 12 on a shaft mount 61
such that the line of action of the transmission carriage is
perpendicular to the gear trains of the rotary drive systems. The
shaft mount 61 is configured to be rigidly supported within slots
or other features within the housing 10. The transmission carriage
62 includes a carriage gear 64 that is rotatably supported on the
support shaft 63 and is configured for selective meshing engagement
with gears 44 and 46 while in driving engagement with drive gear
82. In the arrangement depicted in FIGS. 2-5, the transmission
carriage 62 is operably attached to a shifter or a "means for
shifting" 70 that is configured to axially shift the transmission
carriage 62 between a "first drive position" and a "second drive
position". In one form, for example, the means for shifting 70
includes a shifter solenoid 71 that is supported within the housing
12 of the handle 14. The shifter solenoid 71 may comprise a
bi-stable solenoid or, for example, may comprise a "dual position,
spring loaded" solenoid. The illustrated arrangement, for example,
includes a spring 72 that biases the transmission carriage 62 in
the distal direction "DD" to the first drive position wherein the
carriage gear 64 is in meshing engagement with the intermediate
drive gear 46 while also in meshing engagement with the drive gear
82. When in that first drive position, activation of the motor 80
will result in rotation of gears 82, 46 and 24 which will
ultimately result in rotation of the first drive shaft 22. As will
be further discussed herein, the shifter solenoid 71 may be
actuated by a firing trigger 90 that is pivotally supported on the
housing 12 of handle 14 as shown in FIGS. 2 and 5. In the
illustrated embodiment, the firing trigger 90 is pivotally
supported on a firing trigger shaft 92 mounted in the handle 14.
The firing trigger 90 is normally biased in an unactuated position
by a firing trigger spring 94. See FIG. 3. The firing trigger 90 is
mounted for operable actuation of a firing switch 96 that is
operably supported on a control circuit board assembly 100. In the
illustrated arrangement, actuation of the firing trigger 90 results
in the actuation of the shifter solenoid 71. As described in more
detail hereinbelow in connection with FIGS. 61, 63, 64, the handle
processor 7024 provides the drive signal to shifter solenoid 7032
(71). With reference now back to FIGS. 2-5, thus, actuation of the
firing trigger 90 will result in the shifter solenoid 71 pulling
the transmission carriage 62 in the proximal direction "PD" to
thereby move the carriage gear 64 into meshing engagement with the
second drive gear 44. See FIG. 7. Actuation of motor 80 when the
carriage gear 64 is in meshing engagement with the drive gear 82
and the second drive gear 44 will result in the rotation of the
second drive shaft 42 about the second drive shaft axis "SDA". As
can also be seen in FIGS. 2-5, the shiftable transmission assembly
60 may also include an indicator system 74 that includes a pair of
switches 75 and 76 that are operably coupled to the control board
100 as well as a transmission indicator light 77. The switches 75,
76 serve to detect the position of the transmission carriage 62
which results in the control system actuating the indicator light
77 depending upon the position of the transmission carriage 62. For
example, the indicator light 77 may be energized when the
transmission carriage 62 is in the first drive position. This
provides the clinician with an indication that actuation of the
motor 80 will result in the actuation of the first drive system
20.
Various surgical instruments disclosed herein may also include a
transmission assembly 60' that is substantially identical to
transmission assembly 60, but also include a locking assembly or
means (generally designated as 65) for locking the first and second
drive systems 20, 40 to prevent their inadvertent actuation when
they are not intended to be actuated. For example, FIG. 6A
illustrates an alternative transmission carriage 62' that includes
a first drive lock 66 and a second drive lock 68. The first drive
lock 66 comprises a first gear engagement member or tooth on the
transmission carriage 62' that is located for intermeshing
engagement with the second drive gear 44 when the carriage gear 64
is in driving engagement with the intermediate gear 46 (i.e., when
the transmission assembly 60' is in the first drive position). See
FIG. 6B. Thus, when the transmission assembly 60' is in the first
drive position, the first drive lock 66 is in meshing engagement
with the second drive gear 44 and prevents relative rotation
thereof while the first drive shaft 22 is rotated in the
above-described manner. Likewise, when the transmission assembly
60' is in the second drive position (i.e., the carriage gear 64 is
in meshing engagement with the second drive gear 44), the second
drive lock 68 is in meshing engagement with the intermediate drive
gear 46. See FIG. 6C. Thus, when the transmission assembly 60' is
in the second drive position, the second drive lock 68 prevents the
intermediate gear 46 from rotating which also prevents the first
drive gear 24 from rotating. As such, when the clinician operates
the motor 80 to actuate the first drive system 20, the second drive
system 40 is locked in position. Likewise, when the clinician
actuates the second drive system 40, the first drive system 20 is
locked in position.
The control system for the motor 80, as described hereinbelow in
connection with FIGS. 61, 63, 64, may be programmed in such a way
that it always stops in an orientation when one tooth of gears 42,
44 remains vertical or other defined position depending upon the
orientation of the other matching gear. This feature will serve to
avoid any interference between the gear teeth while shifting. When
shifting, the locking members also shift and locks the position of
the non-rotating gear train. When employed in connection with an
end effector that includes a cartridge/anvil arrangement or other
clamping configuration, another advantage gained by locking the
non-rotating (i.e., non-powered) gear train is the retention of the
clamp/anvil in a stable position while firing.
The motor 80 may be a DC brushed driving motor having a maximum
rotation of, approximately, 25,000 RPM, for example. In other
arrangements, the motor may include a brushless motor, a cordless
motor, a synchronous motor, a stepper motor, or any other suitable
electric motor, including motors which can be autoclavable. The
motor 80 may be powered by a power source 84 that in one form may
comprise a power pack 86 that is removably stored in the handle 14.
As can be seen in FIGS. 2-5, for example, the power pack 86 may be
removably housed within the pistol grip portion 19 of the handle
14. To access the power pack 86, the clinician removes a removable
cap 17 that is attached to the pistol grip portion 19 as shown. The
power pack 86 may operably support a plurality of batteries (not
shown) therein. The batteries may each comprise, for example, a
Lithium Ion ("LI") or other suitable battery. The power pack 86 is
configured for removable operable attachment to the control circuit
board assembly 100 which is also operably coupled to the motor 80
and mounted within the handle 14. A number of batteries may be
connected in series may be used as the power source for the
surgical instrument. In addition, the power source 84 may be
replaceable and/or rechargeable and, in at least one instance, can
include CR123 batteries, for example. The motor 80 may be actuated
by a "rocker-trigger" 110 that is pivotally mounted to the pistol
grip portion 19 of the handle 14. The rocker trigger 110 is
configured to actuate a first motor switch 112 that is operably
coupled to the control board 100. The first motor switch 112 may
comprise a pressure switch which is actuated by pivoting the rocker
trigger 110 into contact therewith. Actuation of the first motor
switch 112 will result in actuation of the motor 80 such that the
drive gear 82 rotates in a first rotary direction. A second motor
switch 114 is also attached to the circuit board 100 and mounted
for selective contact by the rocker trigger 110. Actuation of the
second motor switch 114 will result in actuation of the motor 80
such that the drive gear 82 is rotated in a second direction. For
example, in use, a voltage polarity provided by the power source 84
can operate the electric motor 80 in a clockwise direction wherein
the voltage polarity applied to the electric motor by the battery
can be reversed in order to operate the electric motor 80 in a
counter-clockwise direction. As with the other forms described
herein, the handle 14 can also include a sensor that is configured
to detect the directions in which the drive systems are being
moved. One particular implementation of the motor 80 is described
hereinbelow in connection with FIGS. 61, 63, 64 where a brushless
DC motor 7038 is described. DC motor 7038 can be autoclavable.
FIGS. 8-12 illustrate another form of surgical instrument 10' that
may be identical to surgical instrument 10 except for the
differences noted below. Those components of surgical instrument
10' that are the same as the components in the surgical instrument
10 described above will be designated with the same element
numbers. Those components of surgical instrument 10' that may be
similar in operation, but not identical to corresponding components
of surgical instrument 10, will be designated with the same
component numbers along with a "'" or in some cases a "''". As can
be seen in FIG. 8, for example, the first drive shaft axis "FDA" is
offset from and parallel with or is substantially parallel with the
second drive shaft axis "SDA". Referring primarily to FIG. 9, for
example, the transmission assembly 60 and, more specifically, the
transmission carriage 62'' is manually shiftable by a linkage
assembly 120 that is operably attached to the firing trigger 90'.
As can be seen in that Figure, for example, the linkage assembly
120 includes a first transmission link 122 that is pivotally
coupled to the firing trigger 90' and extends axially to be
pivotally coupled to a transmission yoke 124. The transmission yoke
124 is movably pinned to the transmission carriage 62''. Thus,
actuation of the firing trigger 90' results in the axial movement
of the transmission carriage 62''. It will therefore be understood
that the linkage assembly 120 essentially performs similar
actuation motions to those performed by the shifter solenoid 71
that was described above. As used in the context of this embodiment
with respect to movement of the transmission carriage 62'', the
term "manually shiftable" refers to moving the transmission
carriage between the first and second drive positions without the
use of electricity or other power means other than depressing the
firing trigger 90'.
As can also be seen in FIGS. 8-12, the second drive gear 44' is
spaced apart from the intermediate gear 46' on the second drive
shaft 42' by a spacer 45. The second drive gear 44' is keyed onto
or otherwise non-rotatably affixed to the second drive shaft 42',
while the intermediate drive gear 46' is rotatably journaled on the
second drive shaft 42' for free rotation relative thereto. In one
form, for example, a distal drive gear 130 is supported in meshing
engagement with the intermediate drive gear 46'. Similarly, a
proximal drive gear 136 is supported in meshing engagement with the
second drive gear 44'. In this arrangement, however, the
transmission carriage 62'' also includes a centrally-disposed,
transmission gear assembly 140 that is operably attached to the
transmission carriage 62' for axial travel therewith. Still
referring to FIGS. 8-12, the transmission gear assembly 140
includes a centrally-disposed shifter drive gear 142 that is in
slidable meshing engagement with the motor drive gear 82. Thus,
rotation of motor drive gear 82 results in rotation of the shifter
drive gear 142. In addition, a proximally extending,
conically-shaped drive gear 144 is coupled to the shifter drive
gear 142 and is configured for selective meshing engagement with a
proximal gear socket 146 that is attached to the proximal drive
gear 136. Likewise a distally extending, conically shaped drive
gear 148 is configured for selective meshing engagement with a
distal gear socket 150 attached to the distal drive gear 130.
When the clinician desires to actuate the first drive system 20,
the clinician moves the firing trigger 90' to axially move the
transmission gear assembly 140 to bring the distally extending
conically-shaped drive gear 148 into seated meshing engagement with
the distal gear socket 150 that is attached to distal drive gear
130. See FIGS. 8-10. When in that position, operation of motor 80
will result in the rotation of motor drive gear 82, shifter drive
gear 142, distal drive gear 130, intermediate drive gear 46', the
first drive gear 24 and the first drive shaft 22. When the
clinician desires to actuate the second drive system 40, the
clinician moves the firing trigger 90' to the position shown in
FIGS. 11 and 12 to thereby bring the proximally extending
conically-shaped drive gear 144 into seated meshing engagement with
the proximal gear socket 146 that is attached to the proximal drive
gear 136. When in that position, operation of motor 80 will result
in the rotation of drive gear 82, shifter drive gear 142, proximal
drive gear 136, the second drive gear 44' and the second drive
shaft 42'. As can also be seen in FIGS. 8-12, sensors 152 and 154
may be employed to detect the position of the transmission carriage
62'' as will be discussed in further detail below. For example, the
sensors 152 and 154 may be implemented using the Hall effect
sensors 7028 described hereinbelow in connection with FIGS. 61, 63,
64.
FIGS. 13-16 illustrate another form of motor driven surgical
instrument 310 that may be identical to surgical instrument 10
except for the differences noted below. Those components of
surgical instrument 310 that are the same as the components in the
surgical instrument 10 described above will be designated with the
same element numbers. In this arrangement, the first and second
drive systems 20, 40 are powered by motor 80 through a unique and
novel "shiftable" transmission assembly 360. The first drive system
20 includes a first drive shaft 22 that has a first drive pulley
324 keyed thereon or otherwise non-rotatably affixed thereto.
Similarly, the second drive system 40 includes a second drive shaft
42 that has a second drive pulley 344 keyed thereon or otherwise
non-rotatably thereto. As can be seen in FIG. 14, for example, the
first drive shaft axis "FDA" is offset from and parallel with or is
substantially parallel with the second drive shaft axis "SDA".
Still referring to FIGS. 13-16, in one form, the motor 80 includes
a first motor pulley 382 that is non-rotatably attached to the
shaft of the motor 80. The first motor pulley 382 drives a first
drive belt 385 that is received on the first drive pulley 324. In
addition, a second motor pulley 384 is non-rotatably mounted to the
motor shaft and operably supports a second drive belt 387 thereon.
The second drive belt 387 is also received on the second drive
pulley 344 on the second drive shaft 42. The first and second drive
belts 385, 387 may comprise V-belts, for example.
The instrument 310 also includes a transmission assembly 360 that
includes a transmission carriage 362 that is supported for axial
travel within the instrument housing. The transmission carriage 362
operably interacts with an idler carriage 374 that is supported to
move laterally in response to contact with transmission carriage
362 as the transmission carriage 362 is moved axially by the
shifter solenoid 71. The idler carriage 374 includes a first idler
pulley 375 and a second idler pulley 376 mounted thereon. In the
illustrated arrangement, the spring 72 biases the transmission
carriage 362 in the distal direction "DD" to a first drive position
wherein the transmission carriage 362 causes the idler carriage 374
to move in a first lateral direction "FLD" which causes the first
idler pulley 375 to remove the slack from the first drive belt 385.
When in that position, the second idler pulley 376 is located out
of engagement with the second drive belt 387. Thus, operation of
motor 80 will result in the rotation of the first drive shaft 22.
Although the second motor pulley 384 will also be rotated when the
motor 80 is activated, the slack in the second drive belt 387
prevents that rotary motion from being transferred to the second
drive pulley 344. Thus, no rotary motion is transferred to the
second drive system 40. As discussed above, the shifter solenoid 71
may be actuated by the firing trigger 90. However, in alternative
arrangements, the shifter solenoid 71 may also be replaced by a
manually actuatable linkage assembly of the type described above,
for example. In the illustrated arrangement, actuation of the
firing trigger 90 will result in the shifter solenoid 71 pulling
the transmission carriage 362 in the proximal direction "PD" to
thereby laterally displace the idler carriage 374 in a second
lateral direction "SLD" to bring the second idler 376 into contact
with the second drive belt 387 to remove the slack therefrom. Such
lateral movement of the idler carriage 374 also moves the first
idler 375 out of engagement with the first drive belt 385 to permit
the first drive belt 385 to slacken. Thus, when in such second
drive position, actuation of the motor 80 results in the actuation
of the second drive system 40. The slack in the first drive belt
385 prevents the rotary motion from being transferred to the first
drive system 20.
The transmission assembly 360 may provide several distinct
advantages. For example, the use of V-belts eliminates meshing
gears or gear alignments with a clutch. Furthermore, such
transmission arrangement may be activated or deactivated under
load. In addition, the transmission assembly 360 requires little
displacement to disengage and engage.
FIGS. 17-21 illustrate another form of motor driven surgical
instrument 410 that may be identical to surgical instrument 10
except for the differences noted below. Those components of
surgical instrument 410 that are the same as the components in the
surgical instrument 10 described above will be designated with the
same element numbers. In this arrangement, the first and second
drive systems 20, 40 are powered by motor 480 through a unique and
novel "shiftable" transmission assembly 460. The first drive system
20 includes a first drive shaft 22 that has a first drive pulley
424 keyed thereon or otherwise non-rotatably affixed thereto.
Similarly, the second drive system 40 includes a second drive shaft
42 that has a second drive pulley 444 keyed thereon or otherwise
non-rotatably fixed thereto. As can be seen in FIG. 18, for
example, the first drive shaft axis "FDA" is offset from and
parallel with or is substantially parallel with the second drive
shaft axis "SDA".
Referring now to FIG. 19, in one form, the motor 480 includes a
splined drive shaft 481 that is adapted to slidably engage a
transmission shaft assembly 490 that is configured to interact with
a transmission carriage 462 such that axial movement of the
transmission carriage 462 results in axial movement of the
transmission shaft assembly 490 on the splined drive shaft 481. As
can be seen in FIG. 19, the transmission shaft assembly 490 has a
splined bore 491 therein for slidably and operably receiving the
splined drive shaft 481 therein. In addition, a distal engagement
collar 492 is formed on a distal end of the transmission shaft
assembly 490. The distal engagement collar 492 is configured with
an annular groove 493 that is configured to receive therein two
opposed yoke rods 465 that are attached to a yoke portion 464 of
the transmission carriage 462. Such arrangement serves to couple
the transmission carriage 462 to the transmission shaft assembly
490 while permitting the transmission shaft assembly 490 to rotate
relative to the transmission carriage 462.
Still referring to FIG. 19, a first motor pulley 482 is configured
for selective driving engagement with the transmission shaft
assembly 490. As can be seen in FIG. 19, for example, the
transmission shaft assembly 490 has a bearing collar 494 formed on
the proximal end thereof that is sized to be slidably and rotatably
received within bore 483 in the first motor pulley 482. In
addition, the first motor pulley 482 also includes a star-shaped
proximal drive cavity 488 that is adapted to meshingly engage a
complementary-shaped drive portion 495 formed on the transmission
shaft assembly 490. The first motor pulley 482 drives a first drive
belt 485 that is also received on the first drive pulley 424. The
surgical instrument 410 also includes a second motor pulley 484
that has a star-shaped bore 489 that is configured to meshingly
engage the drive portion 495 of the transmission shaft assembly 490
therein. A second motor pulley 484 operably supports a second drive
belt 487 thereon that is also received on the second drive pulley
444.
As indicated above, the instrument 410 also includes a transmission
assembly 460 that includes a transmission carriage 462 that is
supported for axial travel within the instrument housing. The
transmission carriage 462 operably interacts with transmission
shaft assembly 490 to also move the transmission shaft assembly 490
axially while the transmission shaft assembly 490 remains engaged
with the motor shaft 481. FIG. 20 illustrates the shifter solenoid
71 in the unactuated position. As can be seen in that Figure, the
transmission carriage 462 has moved the transmission shaft assembly
490 to its proximal-most position which may also be referred to as
the "first drive position" wherein the drive portion 495 is in
driving engagement with the star-shaped bore 488 in the first motor
pulley 482. Thus, rotation of the motor shaft 481 will result in
rotation of the transmission shaft assembly 490 and the first motor
pulley 482. Rotation of the first motor pulley 482 results in
rotation of the first drive belt 485 which ultimately results in
rotation of the first drive shaft 22. When the transmission shaft
assembly 490 is in the first drive position, the transmission shaft
assembly 490 rotates freely relative to the second motor pulley
484. Thus, when the first drive system 20 is actuated, the second
drive system 40 remains unactuated. When the shifter solenoid 71 is
actuated to the position shown in FIG. 21 (by actuating the firing
trigger 90), the transmission carriage 462 moves the transmission
shaft assembly 490 to its distal-most position on the motor shaft
481 which may also be referred to as the `second drive position".
As can be seen in FIG. 21, when the transmission shaft assembly 490
is in the second drive position, the drive portion 495 thereof is
moved into meshing engagement with the star-shaped bore 489 in the
second motor pulley 484. Thus, rotation of the motor shaft 481 will
result in the rotation of the second motor pulley 484. Rotation of
the second motor pulley 484 will result in the rotation of the
second drive belt 487 which results in the rotation of the second
drive shaft 42. When in that second drive position, the
transmission shaft assembly 490 rotates freely within the first
motor pulley 482. Thus, when the second drive system 40 is
actuated, the first drive system 20 is in an unactuated state.
FIGS. 22-27 illustrate another motor, transmission assembly and
first and second drive systems that may be employed with various
surgical instruments described herein. The illustrated arrangement
includes a motor 580 that has a motor shaft 581. See FIGS. 23 and
24. A motor drive gear 582 or "sun gear" 582 is non-rotatably
affixed to the motor shaft 581 for rotation therewith. The
arrangement further includes a planetary gear assembly 570 that
includes three planetary gears 572 that are rotatably supported
between a distal carrier bracket 573 and proximal carrier bracket
574. The proximal carrier bracket 574 is supported on a hub portion
of the sun gear 582 such that the sun gear 582 may rotate relative
to the proximal carrier bracket 574. The distal carrier bracket 573
is affixed to a second drive shaft 542 of a second drive system 40
such that rotation of the distal carrier bracket 573 will result in
the rotation of the second drive shaft 542 of the second drive
system 40. The three planetary gears 572 are supported in meshing
engagement with a ring gear assembly 575. More specifically, the
planetary gears 572 are in meshing engagement with an internal ring
gear 576 on the ring gear assembly 575. The ring gear assembly 575
further includes an external ring gear 577 that is in meshing
engagement with a first drive gear 524 that is affixed to a first
drive shaft 522 of the first drive system 20. As can be seen in
FIG. 24, for example, the first drive shaft axis "FDA" is offset
from and parallel with or is substantially parallel with the second
drive shaft axis "SDA".
As can be seen in FIG. 23, the arrangement further includes a
solenoid 71 that may be operated by the firing trigger in the
various manners described herein. In this arrangement, the
transmission assembly 560 is attached to the shaft 73 of the
solenoid 71. FIG. 24 illustrates the transmission assembly 560 in
the first drive position. In one form, the transmission assembly
560 includes a locking assembly, generally designated as 590 that
comprises a first or proximal lock lug portion 592 and a second or
distal lock lug portion 594 on the transmission assembly 560. As
can be seen in that Figure, the transmission assembly 560 is
positioned such that the proximal lock lug portion 592 is in
engagement with the proximal carrier bracket 574. When in that
first drive position, the proximal lock lug portion 592 prevents
the planetary gear assembly 570 from rotating as a unit with the
sun gear 582. However, rotation of the sun gear 582 results in
rotation of the planetary gears 572. Rotation of the planetary
gears 572 results in rotation of the ring gear assembly 575.
Rotation of the ring gear assembly 575 results in rotation of the
first drive gear 524 and the first drive shaft 522. Because the
proximal carrier bracket 574 is prevented from rotating, the distal
carrier bracket 573 is also prevented from rotating. Thus, the
second drive shaft 544 is also prevented from rotating while the
first drive shaft 522 is rotated. A spring (not shown) may be
employed to bias the solenoid 71 (and the transmission assembly 560
attached thereto) into this "first drive position". When the
clinician desires to actuate the second drive system 40, the
solenoid 71 may be actuated using the firing trigger as described
above to move the solenoid shaft 73 to the position shown in FIG.
25. When the transmission assembly 560 is in that "second drive
position", the distal lock lug portion 594 retainingly engages the
ring gear assembly 575 to prevent rotation thereof. Thus, when the
sun gear 582 is rotated, the planetary gear carrier (i.e., the
distal carrier bracket 573 and proximal carrier bracket 574) will
also rotate. The planetary gears 572 will rotate within the fixed
internal ring gear 576. Such rotary motion will be transferred to
the second drive shaft 542 while the first drive shaft 522 remains
unactuated.
FIG. 28 illustrates another form of motor driven surgical
instrument 610 that may be identical to surgical instrument 10
except for the differences noted below. Those components of
surgical instrument 610 that are the same as the components in the
surgical instrument 10 described above will be designated with the
same element numbers. As can be seen in FIG. 28, for example, the
first drive shaft axis "FDA" is offset from and parallel with or is
substantially parallel with the second drive shaft axis "SDA". This
arrangement comprises a motor 680 that has dual, independently
actuatable motor shafts 681, 683. The motor 680 may be controlled
by a firing trigger arrangement of the various types described
herein, such that actuation of the firing trigger in one manner
causes the motor 680 to rotate the first motor shaft 681 and
actuation of the firing trigger in another manner causes the motor
680 to rotate the second motor shaft 683. In this arrangement, a
first motor gear 682 is mounted on the first motor shaft 681 and is
supported in meshing engagement with an idler gear 646. Idler gear
646 is operably supported in meshing engagement with a first drive
gear 624 that is mounted to a first drive shaft 622 of a first
drive system 620. Thus, actuation of the first motor shaft 681 will
result in actuation of the first drive system 620. Likewise, a
second motor gear 684 is mounted on the second motor shaft 683 and
is supported in meshing engagement with a second drive gear 644
that is mounted on a second drive shaft 642 of a second drive
system 640. As such, actuation of the second motor shaft 683 will
result in the actuation of the second drive system 640.
FIG. 29 illustrates another form of motor driven surgical
instrument 710 that may be identical to surgical instrument 10
except for the differences noted below. Those components of
surgical instrument 710 that are the same as the components in the
surgical instrument 10 described above will be designated with the
same element numbers. As can be seen in FIG. 29, for example, the
first drive shaft axis "FDA" is offset from and parallel with or is
substantially parallel with the second drive shaft axis "SDA". In
this arrangement, first and second drive systems 720, 740 are
powered by a motor 780 through a unique and novel "shiftable"
transmission assembly 760. The first drive system 720 includes a
first drive shaft 722 that has a first drive gear 724 keyed thereon
or otherwise non-rotatably affixed thereto. Similarly, the second
drive system 740 includes a second drive shaft 742 that has a
second drive gear 744 keyed thereon or otherwise non-rotatably
thereto. The motor 780 includes a motor gear 782 that is
non-rotatably attached to the shaft 781 of the motor 780.
In the illustrated arrangement, a second motor 750 is employed to
shift the transmission assembly 760 as will be discussed in further
detail below. The second motor 750 may be controlled, for example,
by the various firing trigger and switch arrangements disclosed
herein. The second motor 750 can be controlled in a manner similar
to the way that the motor 7038 is controlled as described
hereinbelow in connection with FIGS. 61, 63, 64. As can be seen in
FIG. 29, a first transfer pulley 753 is keyed onto or otherwise
non-rotatably affixed to the motor shaft 752. A first pivot shaft
754 is rotatably supported within the housing 12 of the handle 14.
The first pivot shaft defines a pivot axis "PA". A second transfer
pulley 755 is non-rotatably mounted on the first pivot shaft 754
and a transfer belt 756 is mounted on the first and second transfer
pulleys 753, 755. In one form, the shiftable transmission assembly
760 includes a transfer link 762 that is attached to the first
pivot shaft 754. In addition, an idler shaft 763 is attached to the
transfer link 762 which operably supports an idler gear 764
thereon. The shiftable transmission assembly 760 is movable between
a first drive position and a second drive position. To move the
shiftable transmission assembly 760 to the first drive position,
the clinician actuates the second motor 750 to rotate the pivot
shaft 763 and idler gear 764 about pivot axis PA such that it is in
meshing engagement with the motor gear 782 and the first drive gear
724. When in that position, actuation of the motor 780 will then
result in actuation of the first drive system 720. When the
clinician desires to actuate the second drive system 740, the
second motor 750 is actuated to rotate the idler gear 764 about
pivot axis PA into meshing engagement with the motor gear 782 and
the second drive gear 744. When in that position, actuation of
motor 780 results in actuation of the second drive system 740. One
benefit that may be achieved with this arrangement is that precise
gear orientation is not required. As the idler gear 764 swings into
position, it may be rotating and automatically will find a mating
tooth.
FIGS. 30-32 illustrate a unique and novel motor unit 800 that may
be mounted within a housing of the types described herein. The
motor unit 800 may include a separate housing structure 801 that
operably supports a first motor 802 with a first motor shaft 803
that defines a first drive system 804. The motor unit 800 may
include a second motor 805 with a second motor shaft 806 that
defines a second drive system 807. As can be seen in FIG. 8, for
example, the first drive shaft axis "FDA" is offset from and
parallel with or is substantially parallel with the second drive
shaft axis "SDA". The unit 800 may further include a control
circuit board 808 which contacts 808A that operably interface with
corresponding contacts on the circuit board mounted within the
instrument housing or otherwise supported therein and communicating
with the instrument's control system. The housing may further
include electrical contacts 808B which are configured to operably
interface with corresponding electrical contacts on an end effector
tool that is coupled thereto.
As illustrated in FIG. 1, the modular surgical system 2 may include
a variety of different surgical end effector arrangements 1000,
2000, and 3000 that may be used in connection with various surgical
instruments described herein. As will be discussed in further
detail below, each of the end effectors 1000, 2000, 3000 include
dual, separate "first and second end effector drive systems" that
are adapted to operably interface with the first and second drive
systems in the surgical instrument to receive control motions
therefrom. The end effector drive systems are each configured to
linearly move corresponding end effector actuator components from
first or beginning linear positions to second or ending linear
positions in response to corresponding rotary motions applied to
the end effector drive systems by the surgical instrument to which
the end effector is operably attached. The end effector actuator
components apply linear actuation motions to various end effector
components located in the end effector tool head portion in order
to perform various surgical procedures. As will be discussed in
further detail below, the end effectors employ unique components
and systems for assisting the clinician in coupling the first and
second drive shafts of the surgical instrument with the
corresponding drive shafts in the end effector. Because the four
drive shafts are essentially simultaneously coupled together,
various coupling arrangements and control techniques may be
employed to ensure that the shafts are in the correct positions or
"near correct positions" that will facilitate such simultaneous
coupling of the drive systems.
Referring now to FIG. 33, one form of mechanical coupling system 50
may be employed to facilitate the simultaneous removable and
operable coupling of the two drive systems in the surgical
instrument to the corresponding "driven" shafts in the end
effectors. The coupling system 50 may comprise male couplers that
may be attached to the drive shafts in the surgical instrument and
corresponding female socket couplers that are attached to the
driven shafts in the surgical end effector. For example, FIG. 9
illustrates male couplers 51 attached to the first and second drive
shafts 22, 42 by set screws 52. Referring again to FIG. 33, each of
the male couplers 51 are configured to be drivingly received within
corresponding female socket couplers 57 that may also be attached
to the driven shafts within the end effector. In one form, each
male coupler 51 includes at least three drive ribs 53 that are
equally spaced around a center portion 54 of the male coupler 51.
In the illustrated embodiment, for example, five drive ribs 53 are
equally spaced around the center portion 54. Each drive rib 53 has
a pointed distal end 55. Each drive rib 53 may be formed with
somewhat rounded edges 56 to facilitate easy insertion into
corresponding socket grooves 58 within the female socket coupler
57. Each socket groove 58 has a tapered proximal entrance portion
59 to facilitate insertion of a corresponding drive rib 53 therein.
The pointed distal end 55 of each drive rib 53 in conjunction with
the tapered entrance 59 of each socket groove 58 will accommodate
some misalignment between the male coupler 51 and its corresponding
female socket coupler 57 during the coupling process. In addition,
the rounded edges 57 on the pointed distal end 55 also assist in
the slidable insertion of the male coupler 51 into the
corresponding female socket coupler 58.
In one form, at least one of the male couplers 51 is movably
attached to its corresponding first or second drive shaft of the
surgical instrument or its corresponding first and second driven
shaft of the surgical end effector. More specifically, the male
coupler 51 may be attached for radial, or angular, travel on the
shaft for a "first predetermined amount of radial travel" on the
shaft. This may be accomplished for example, by key and keyway
arrangements that are sized relative to each other to facilitate an
amount of radial, or angular, travel of the male coupler 51 on the
shaft. Stated another way, for example, the shaft may have a key
formed thereon or otherwise mounted thereto that is smaller than a
corresponding keyway formed in the male coupler 51 such that the
key may move within the keyway and establish a first predetermined
amount of radial travel. This first predetermined amount of radial
travel is preferably sufficient enough to back drive or forward
drive the coupler. For a male coupler 51 that has five ribs 53, for
example, the first predetermined range of radial travel may be, for
example, 5-37 degrees. Some embodiments may exist where the first
predetermined range of radial travel may be less than 5.degree. and
preferably not more than 4.degree., for example. Such range of
radial, or angular, travel may be sufficient if, for example, the
corresponding female socket coupler 57 was rigidly affixed to its
corresponding drive shaft and otherwise was incapable of any radial
travel. However, if both the male and female couplers have the
ability to radially, or angularly, adjust, such range of radial, or
angular, travel may be reduced by 50% to provide each coupler (male
coupler and corresponding female socket coupler) with a range of
travel of about 3-16 degrees. The amount of radial, or angular,
travel that a female socket coupler 57 may move on its
corresponding shaft may be referred to herein as a "second
predetermined amount of radial travel". The female socket couplers
57 may also be attached to their respective drive shafts with a key
and keyway arrangement as described above that provides the desired
second predetermined amount of radial travel. Some embodiments may
exist where the second range of predetermined radial travel may be
less than 5.degree. and preferably not more than 4.degree., for
example.
Various combinations and mounting arrangements of the male couplers
and the female socket couplers are contemplated. For example, one
or both of the male couplers may be movably mounted to their
respective drive shafts of the surgical instrument (or driven
shafts of the surgical end effector) in the various manners
described herein. Likewise one or both of the female socket
couplers may be movably mounted to their respective driven shafts
on the end effector (or drive shafts of the surgical instrument) in
the various manners described herein. For example, a male coupler
on one of the first and second drive shafts may be movably mounted
thereon. The other male coupler that is attached to the other drive
shaft may be non-movably mounted thereto. The female socket coupler
on the driven shaft that corresponds to the movably mounted male
coupler may be non-movably attached to its driven shaft and the
female socket coupler mounted on the other driven shaft that
corresponds to the non-movably mounted coupler may be movably
mounted to its driven shaft. Thus, one of a male coupler and a
female coupler socket of a "coupler pair" is movable. The term
"coupler pair" refers to the male coupler and corresponding female
socket coupler that is configured to be coupled together to
operably couple a drive shaft of the surgical instrument to its
corresponding driven shaft of the end effector. In other
arrangements both the male coupler and female coupler socket of a
coupler pair may both be movably coupled to their respective
shafts.
Such coupler arrangements serve to provide a small amount of
angular slack, for example, between the coupler components so that
the components may rotate slightly for sufficient alignment which
will permit simultaneous alignment of the coupler components
attached to the two separate rotary drive trains. In addition,
there may be a sufficient amount of backlash or slack provided in
the drive trains to accommodate the coupling process. Such backlash
or slack may be provided by forming keys/keyways into the gears,
couplers and or mating shafts to facilitate such slight rotation of
components. In addition, a switch arrangement may be employed in
connection with the various shiftable transmission assemblies which
may activate the motor to cause a slight rotation of the drive
shafts for coupling purposes.
This and other control techniques may be employed to ensure that
the drive shafts in the surgical instruments are positioned in
desired positions that facilitate their coupling with the
corresponding drive shafts in the end effectors. The unique and
novel mechanical coupling system 50 serves to provide some
additional flexibility during the coupling process to enable the
drive shafts to be coupled together in the event that there is some
misalignment between the respective shafts. It will be understood
that although the various embodiments described herein illustrate
the male couplers 51 attached to the drive shafts within the
surgical instrument and the female socket couplers 58 attached to
the end effector drive shafts, the male couplers 51 could be
attached to the end effector drive shafts and the female socket
couplers 58 could be attached to the instrument drive shafts.
FIGS. 34-37 depict a surgical end effector 1000 that comprises a
surgical cutting and fastening instrument of a type that is
commonly referred to as an "open linear" stapler. Various forms of
such open linear stapling devices are disclosed in, for example,
U.S. Pat. No. 5,415,334, entitled SURGICAL STAPLER AND STAPLE
CARTRIDGE and U.S. Pat. No. 8,561,870, entitled SURGICAL STAPLING
INSTRUMENT, the entire disclosures of each being hereby
incorporated by reference herein. The end effector 1000 comprises
an end effector housing 1010 that may be fabricated from housing
segments 1012, 1014 that are removably coupled together by screws,
lugs, snap features, etc. Protruding from the end effector housing
1010 are a lower jaw 1020 and an upper jaw 1040 which may
collectively form the end effector tool head 1004. The lower jaw
1020 comprises a lower jaw frame 1022 that is configured to
operably support a surgical staple cartridge 1060 therein. Such
surgical staple cartridges are well known in the art and will
therefor not be described in great detail herein. Briefly, the
surgical staple cartridge 1060 may comprise a cartridge body 1062
that has lines of staple pockets 1066 formed therein on each
lateral side of an elongate slot 1068 that is centrally disposed
within cartridge body 1062. The slot 1068 is configured to
accommodate the longitudinal travel of a cutting member 1090
therethrough as will be discussed in further detail below. A
surgical staple or staples (not shown) are supported in the staple
pockets 1066 on staple drive members (not shown) that are
configured to move upward within their respective pocket 1066
during a firing process. The staple cartridge 1060 may be
configured to be removed from the lower jaw frame 1022 and replaced
with another unspent cartridge making the end effector 1000
reusable. However, the end effector 1000 may also be disposable
after a single use.
Referring to FIG. 36, the lower jaw frame 1022 may be formed from
metal material and have a U-shaped distal portion 1024 that is
configured to seatingly receive the surgical staple cartridge 1060
therein. The side walls 1026 of the U-shaped distal portion 1024
may have a distal end 1028 that is configured to releasably and
retainingly engage a portion of the surgical cartridge 1060. The
staple cartridge body 1062 may also have engagement features 1064
that are adapted to releasably engage upstanding wall portions 1030
of the lower jaw frame 1022. The end effector 1000 further
comprises an upper jaw 1040 that includes an anvil portion 1042.
The anvil portion 1042 may include an underside (not shown) that
has a plurality of staple-forming pockets therein. The upper jaw
1040 further includes a proximal body portion 1044 that has a
distal trunnion pin 1046 extending therethrough. The ends of the
distal trunnion pin 1046 that protrude laterally from the proximal
end of the proximal body portion 1044 are rotatably received within
trunnion holes 1032 in the lower jaw 1020. The trunnion pin 1046
defines an attachment axis AA-AA about which the proximal end of
the upper jaw 1040 pivots relative to the lower jaw 1020 such that
the anvil portion 1042 is movable between an open position spaced
from the staple cartridge 1060 mounted within the lower jaw 1020
and a closed position adjacent the staple cartridge 1060 and/or
tissue that is located therebetween. The end effector 1000 may
further include a transverse fulcrum pin 1050 that is received
within cradles 1034 formed in the upstanding walls 1030 of the
lower jaw 1020 and is mounted within holes 1016 in the housing
segments 1012, 1014. The fulcrum pin 1050 may serve as a fulcrum
axis or surface about which the anvil portion 1042 pivots.
The movement of the anvil portion 1042 between the open and closed
positions is controlled by a first end effector drive system also
referred to herein as the end effector closure system 1070. In one
form, for example, the end effector closure system 1070 includes a
closure shuttle 1072 that extends around the proximal body portion
1024 of the lower jaw 1020. The closure shuttle 1072 may also be
referred to as a "first end effector actuator". The closure shuttle
1072 may include a U-shape portion that includes distal upstanding
walls 1074 and proximal upstanding walls 1076. Each distal
upstanding wall 1074 includes an arcuate cam slot 1078 that is
adapted to receive a corresponding portion of a cam pin 1048 that
is attached to the upper jaw 1040. Thus, axial or linear movement
of the closure shuttle 1072 relative to the lower jaw 1020 will
cause the upper jaw 1040 to pivot on the fulcrum pin 1050 and about
the attachment axis AA-AA by virtue of the interaction of the cam
pin 1048 within the cam slots 1078.
In various forms, the closure system 1070 includes a rotary end
effector closure shaft 1080 that is threaded and includes a distal
end portion 1082 that is rotatably supported within the end
effector housing 1010. The end effector closure shaft 1080 defines
a closure shaft axis CSA-CSA. See FIG. 37. A female socket coupler
57 is attached to the proximal end of the closure shaft 1080 to
facilitate coupling of the closure shaft 1080 with a male coupler
51 attached to a first drive shaft in a surgical instrument. The
closure system 1070 further includes a closure nut 1084 that is
threadably received on the closure shaft 1080. The closure nut 1084
is configured to be seated within mounting slots 1077 in the
upstanding walls 1076 of the closure shuttle 1072. Thus, rotation
of the closure shaft 1080 in a first direction will cause the
closure nut 1084 to drive the closure shuttle 1072 in the distal
direction "DD". Movement of the closure shuttle 1072 in the distal
direction "DD" results in the pivotal travel of the upper jaw 1040
from an open position to a closed position. Likewise, movement of
the closure shuttle 1084 in the proximal direction "PD" will result
in the movement of the upper jaw 1040 from a closed position back
to an open position.
The end effector 1000 further includes a second end effector drive
system also referred to herein as a firing system 1100 for driving
a tissue cutting member 1090 and wedge sled assembly 1092 between
starting and ending positions. When the wedge sled assembly 1092 is
driven distally through the surgical staple cartridge 1060, the
wedge sled assembly 1092 operably interacts with the drivers within
the cartridge 1060 that have surgical staples supported thereon. As
the wedge sled assembly 1092 is driven distally, the drivers are
driven upward within their respective pockets to drive the staples
supported thereon into forming engagement with the underside of the
anvil portion 1042 of the upper jaw 1040. In one form, the firing
system 1100 further includes a rotary threaded firing shaft 1102
that is rotatably supported in the end effector housing 1010. The
firing shaft 1102 defines a firing shaft axis FSA-FSA that is
parallel with or substantially parallel with the closure shaft axis
CSA-CSA. See, e.g., FIG. 37. The firing shaft 1102 includes a
distal end portion 1104 that is rotatably supported in a mounting
unit 1106 that is mounted within the end effector housing 1010. A
female socket coupler 57 is attached to the proximal end of the
firing shaft 1102 to facilitate coupling of the firing shaft 1102
with a male closure coupler 51 that is attached to a second drive
shaft in a surgical instrument. The firing system 1100 further
includes a firing nut 1110 that is threadably received on the
firing shaft 1102. Thus, rotation of the firing shaft 1102 results
in the axial travel of the firing nut 1110 within the end effector
housing 1010. In one form, the tissue cutting member 1090 and wedge
sled assembly 1092 are coupled to the firing nut 1110 by a firing
bar or firing bars 1112. The firing bar or bars may also be
referred to herein as a "second end effector actuator" that is
linearly or axially moved in response to actuation of the firing
system. Thus, rotation of the firing shaft 1102 in a first
direction will drive the firing nut 1110, firing bar(s) 1112, the
tissue cutting member 1090 and the wedge sled assembly 1092 in the
distal direction "DD" from, for example, a starting position (FIG.
35) to an ending position wherein the tissue cutting member 1090
and wedge sled assembly 1092 have been driven to the distal end of
the surgical staple cartridge 1060. Rotation of the firing shaft
1102 in an opposite direction will drive the firing nut 1110, the
firing bar(s) 1112, the tissue cutting member 1090 and the wedge
sled assembly 1092 in a proximal direction "PD" from their
respective ending positions back to their respective starting
positions. In some embodiments, the wedge sled assembly may remain
at the distal end of the surgical staple cartridge and not return
with the tissue cutting member 1090 to the starting position. In
still other embodiments, the tissue cutting member and the wedge
sled assembly member may remain at the distal end of the staple
cartridge member.
The end effector 1000 may also be equipped with various sensors
that are coupled to an end effector contact board 1120 mounted
within the end effector housing 1010. The contact board 1120 may be
positioned with the end effector housing 1020 such that when the
end effector 1000 is operably coupled to the surgical instrument,
the end effector contact board 1120 is electrically coupled to a
surgical instrument contact board 30 mounted in the surgical
instrument housing 12. See, e.g., FIG. 1. Referring again to FIG.
34, a closure sensor 1122 may be mounted within the end effector
housing 1010 and be electrically coupled to the end effector
contact board 1120 such that when the end effector 1000 is operably
coupled to the surgical instrument, the closure sensor 1122 is in
communication with the surgical instrument's control system. The
closure sensor 1122 may comprise a Hall effect sensor 7028 as shown
hereinbelow, for example, in connection with FIGS. 61, 63 that is
configured to detect the position of a switch lug 1086 on the
closure nut 1084. In addition, a firing sensor 1124 may also be
mounted within the end effector housing 1010 to detect the presence
of a firing bar 1112. The firing sensor 1112 may comprise a Hall
effect sensor 7028 as shown hereinbelow, for example, in connection
with FIGS. 61, 63 and be electrically coupled to the end effector
contact board 1120 for ultimate communication with the surgical
instrument control system, such as the handle processor 7024 as
will be discussed in further detail below in connection with FIGS.
61, 63, 64.
Use of the end effector 1000 will now be explained in connection
with surgical instrument 10. It will be appreciated, however, that
the end effector 1000 may be operably coupled to various other
surgical instrument arrangements disclosed herein. Prior to use,
the closure shaft 1080 and the firing shaft 1102 are "clocked" or
positioned in their respective starting positions to facilitate
attachment to the first and second drive shafts 22, 42,
respectively. To couple the end effector 1000 to the surgical
instrument 10, for example, the clinician moves the end effector
1000 into a position wherein the closure shaft axis CA-CA is in
axial alignment with the first drive shaft axis FDA-FDA and wherein
the firing shaft axis FSA-FSA is in axial alignment with the second
drive shaft axis SDA-SDA. The female socket coupler 57 on the
closure shaft 1080 is inserted into operable engagement with the
male coupler 51 on the first drive shaft 22. Likewise, the female
socket coupler 57 on the firing shaft 1102 is inserted into
operable engagement with the male coupler 51 on the second drive
shaft 42. Thus, when in that position, the closure shaft 1080 is
operably coupled to the first drive shaft 22 and the firing shaft
1102 is operably coupled to the second drive shaft 42. The end
effector contact board 1120 is operably coupled to the surgical
instrument contact board 30 so that the sensors 1122, 1124 (and any
other sensors within the end effector 1000) are in operable
communication with the surgical instrument's control system. To
retain the end effector 1000 in coupled operable engagement with
the surgical instrument 10, the end effector 1000 includes a
retainer latch 1130 that is attached to the end effector housing
1010 and configured to releasably engage a portion of the
instrument housing 12. The retainer latch 1130 may include a
retention lug 1132 that may releasable engage a retainer cavity 15
formed in the housing 12. See FIG. 1.
When coupled together, the closure sensor 1122 detects the position
of the closure nut 1084 and the firing sensor 1124 detects the
position of the firing bar 1112. That information is communicated
to the surgical instrument control system. In addition, the
clinician may confirm that the shiftable transmission assembly (or
the transmission carriage 62 thereof) is in its first drive
position. This may be confirmed by the actuation of the indicator
light 77 on the housing 12 as discussed above. If the shiftable
transmission assembly 60 is not in its first drive position, the
clinician may actuate the firing trigger 92 to move the
transmission carriage 62 into the first drive position, such that
actuation of the rocker trigger 110 to actuate the motor 80 will
result in actuation of the first drive system 20. Assuming that the
closure system 1070 and firing system 1100 are each in their
respective starting positions and the end effector 1000 has an
unspent staple cartridge 1060 properly installed therein, the
clinician can then position the jaws 1020, 1040 relative to the
target tissue to be cut and stapled. The clinician may close the
upper jaw 1040 by actuating the rocker trigger 110 to actuate the
motor 80 and rotate the first drive shaft 22. Once the target
tissue has been clamped between the upper jaw 1040 and the surgical
staple cartridge 1060 in the lower jaw 1020, the clinician may then
actuate the firing trigger 92 to move the transmission carriage 62
to its second drive position such that actuation of the motor 80
will result in the rotation of the second drive shaft 42. Once the
transmission carriage 62 is moved to the second drive position, the
clinician may once again actuate the rocker trigger 110 to actuate
the second drive system 40 and the firing system 1100 in the end
effector 1000 to drive the tissue cutting member 1090 and wedge
sled assembly 1092 distally through the surgical staple cartridge
1060. As the tissue cutting member 1090 and wedge sled assembly
1092 are driven distally, the target tissue clamped between the
jaws 1020, 1040 is cut and stapled. Once the tissue cutting member
1090 and wedge sled assembly 1092 have been driven to their
distal-most positions in the surgical staple cartridge 1060, the
clinician can actuate the rocker trigger 110 to reverse the motor
rotation and return the firing system 1100 to its starting
position.
When employing end effector 1000 and other end effector and
surgical instruments disclosed herein containing similar jaw
arrangements it can be challenging to adequately clean the anvil
pockets in the underside of the anvil. In addition, the anvil
pockets can gall, scive or simply wear over time making them
ill-suited for reuse. Furthermore, depending upon the application,
loading and removing of the surgical staple cartridge may be
difficult. FIGS. 119-121 illustrate a single-use "staple pack" 1300
that may address some, if not all, of these challenges.
FIG. 119 depicts a portion of an end effector 1000' that may be
similar in construction and operation to, for example, end effector
1000 as well as other end effectors disclosed herein except for the
specific differences discussed below. As can be seen in FIG. 119,
the upper jaw 1240 includes an open distal end 1243. The upper jaw
1240 may be formed form metal material and have a U-shaped
configuration when viewed from the distal end and include
two-inwardly-extending, opposed retention lips 1245. The end
effector 1000' further includes a lower jaw frame 1222 that is
similar to, for example, lower jaw frame 1222 described herein. As
can be seen in that Figure, the lower jaw fame 1222 also has an
open distal end 1223.
Still referring to FIG. 119, one form of "single-use" staple pack
1300 includes an anvil 1302 that has a staple-forming surface 1304
that includes a plurality of staple-forming pockets (not shown)
that are formed therein. The staple pack 1300 further includes a
staple cartridge 1310 that has a cartridge deck 1312 that is
configured for spaced confronting relationship to the
staple-forming undersurface 1304 of the anvil 1302. The staple
cartridge 1310 may be similar to other staple cartridges disclosed
in further detail herein and operably support a plurality of
surgical staples therein. The staple pack 1300 further includes a
disposable keeper member 1320 that is sized and shaped to
frictionally engage the anvil 1302 and staple cartridge 1310 in
such a manner as to maintain alignment between the staple pockets
in the staple-forming undersurface 1304 and the staples (not shown)
within the staple cartridge 1310 prior to use. The keeper 1320 may
also include a spacer strip 1322 that extends between the anvil
1302 and the staple cartridge 1310. The keeper may, for example, be
molded from plastic or other suitable polymer material and the
spacer strip 1322 may be fabricated from metal material. The spacer
strip 1322 may be frictionally retained in a slot or other
retention feature formed in the keeper 1320.
Referring now to FIG. 120, the staple pack 1300 is installed by
aligning the anvil 1302 with the open distal end 1243 in the upper
jaw 1240 and the staple cartridge 1310 is aligned with the open
distal end 1245 in the lower jaw frame 1222. Thereafter, the staple
pack 1300 is moved in the proximal direction "PD" to the position
illustrated in FIG. 120. The retention lips 1245 serve to support
the anvil 1302 within the upper jaw 1240. The end effector 1000'
may also include a manually actuatable latch feature 1340 that may
be moved from an unlatched position (FIG. 119) to a latched
position (FIG. 121). When in the latched position, for example, the
latch feature 1340 retains the anvil 1302 within the upper jaw 1240
and the staple cartridge 1310 within the lower jaw frame 1222. For
example, the latch feature 1340 may include a movable upper latch
arm 1342 that is configured to releasably engage a portion (e.g.,
lip, detent, ledge or other retention feature(s)) formed on the
proximal end of the anvil 1302. Similarly the latch feature 1340
may include a movable lower latch arm 1344 that is configured to
releasably engage a portion (e.g., lip, detent, ledge or other
retention feature(s)) formed on the staple cartridge 1310. The
upper and lower latch arms 1342, 1344 may be pivotally or otherwise
movably supported on the end effector 1000' for selective movement
between the latched and unlatched positions. In various forms the
upper and lower latch arms 1342, 1344 may be normally biased into
the latched position by a spring or springs (not shown). In such
arrangements, the clinician may insert the staple pack 1300 into
the upper jaw 1240 and lower jaw frame 1222. As the proximal end of
the anvil 1302 contacts the upper latch arm 1342, the upper latch
arm 1342 is pivoted or moved to permit the anvil 1302 to be seated
into position. Once the anvil is seated in position, the upper
latch arm 1342 is biased into latching engagement with the anvil
1302 (if a spring or biasing member is employed). In alternative
arrangements, the upper latch arm 1342 may be manually moved into
the latched position. Likewise, as the proximal end of the staple
cartridge 1310 contacts the lower latch arm 1344, the lower latch
arm 1344 is pivoted or moved to permit the staple cartridge 1310 to
be seated into position. Once the staple cartridge 1310 is seated
in position, the lower latch arm 1344 is biased into latching
engagement with the staple cartridge 1310 to retain it in position
(if a spring or biasing arrangement is employed). In alternative
embodiments, the lower latch arm 1344 may be manually moved to the
latched position. Once the staple pack 1300 has been installed and
the anvil 1302 and staple cartridge 1310 have been latched or
otherwise attached to the end effector 1000', the clinician may
remove the keeper assembly 1320. See, e.g., FIG. 121. After the
staple pack 1300 has been used, the clinician may then replace the
keeper 1320 onto the distal ends of the anvil 1302 and the staple
cartridge 1310. This may be accomplished by aligning the open end
of the keeper member 1320 and then pressing the keeper member 1320
back into frictional engagement with the anvil 1302 and staple
cartridge 1310. Once the distal ends of the anvil 1302 and staple
cartridge 1310 have been seated into the keeper member 1320, the
clinician may move the upper and lower latch arms 1342, 1344 to
their an unlatched positions to enable the staple pack 1300 to be
pulled out of the upper jaw 1240 and lower jaw frame 1222.
Thereafter, the staple pack 1300 may be discarded as a unit. In
other situations, the clinician may separately remove the anvil
1302 and staple cartridge 1310 from the end effector 1000' without
first installing the keeper member 1320.
FIGS. 38-41 depict a surgical end effector 2000 that comprises a
surgical cutting and fastening instrument of a type that may
commonly be referred to as a "curved cutter stapler". Various forms
of such stapling devices are disclosed in, for example, U.S. Pat.
No. 6,988,650, entitled RETAINING PIN LEVER ADVANCEMENT MECHANISM
FOR A CURVED CUTTER STAPLER and U.S. Pat. No. 7,134,587, entitled
KNIFE RETRACTION ARM FOR A CURVED CUTTER STAPLER the entire
disclosures of each being hereby incorporated by reference herein.
The end effector 2000 comprises an end effector housing 2010 that
may be fabricated from housing segments 2012, 2014 that are
removably coupled together by screws, lugs, snap features, etc.
Protruding from the end effector housing 2010 is an elongated frame
assembly 2020 that terminates in an end effector tool head 2002. In
one form, the frame assembly 2020 comprises a pair of spaced frame
struts or plates 2022 that are fixedly attached to the housing 2010
and protrude distally therefrom. A C-shaped supporting structure
2024 is attached to the distal end of the frame plates 2022. The
term "C-shaped" is used throughout the specification to describe
the concave nature of the supporting structure 2024 and a surgical
cartridge module 2060. The C-shaped construction facilitates
enhanced functionality and the use of the term C-shaped in the
present specification should be construed to include a variety of
concave shapes which would similarly enhance the functionality of
surgical stapling and cutting instruments. The supporting structure
2024 is attached to the frame plates 2022 by a shoulder rivet 2023
and posts 2026 which extend from the supporting structure 2024 into
receiving holes in the frame plates 2022. In various forms, the
supporting structure 2024 may be formed via a single piece
construction. More specifically, the supporting structure 2024 may
be formed from extruded aluminum material. By forming the
supporting structure 2024 in this manner, multiple parts are not
required and the associated cost of manufacture and assembly is
substantially reduced. In addition, it is believed the unitary
structure of the supporting structure 2024 enhances the overall
stability of the end effector 2000. Furthermore, the unitary
extruded structure of the supporting structure 2024 provides for a
reduction in weight, easier sterilization since cobalt irradiation
will effectively penetrate the extruded aluminum and less trauma to
tissue based upon the smooth outer surface achieved via
extrusion.
The end effector 2000 further includes a first end effector drive
system also referred to as end effector closure system 2070 and a
second end effector drive system also referred to herein as a
firing system 2100. In one form, for example, the end effector
closure system 2070 includes a closure beam assembly 2072 that is
sized to be slidably received between the frame struts 2022 for
axial travel therebetween. The closure beam assembly 2072 may also
be referred to as a first end effector actuator and has an open
bottom configured to slidably receive a firing bar assembly 2112 of
the firing system 2100 as will be discussed in further detail
below. In one form, for example, the closure beam assembly 2072 is
a molded plastic member shaped for movement and functionality as
will be further discussed below. By manufacturing the closure beam
assembly 2072 from plastic, manufacturing costs may be reduced and
the weight of the end effector 2000 may also be reduced. In
addition, the end effector 2000 may be easier to sterilize with
cobalt irradiation as plastic is easier to penetrate than stainless
steel. In accordance with an alternate arrangement, the closure
beam assembly 2072 may be made from extruded aluminum with the
final features machined into place. While an extruded aluminum
closure beam assembly might not be as easy to manufacture as the
plastic component, it would still have the same advantages (i.e.,
elimination of components, easier to assemble, lower weight, easier
to sterilize).
The closure beam assembly 2072 includes a curved distal end 2074
that is sized to be received between the side walls 2027 of the
supporting structure 2024. The curved distal end 2074 is sized and
shaped to receive and retain a cartridge housing 2062 of the
cartridge module 2060. In various forms, the proximal end of the
closure beam assembly 2072 is coupled to a closure nut 2084 that is
threadably received on a threaded closure shaft 2080. The closure
shaft 2080 defines a closure shaft axis CSA-CSA and has a female
socket coupler 57 is attached to its proximal end to facilitate
coupling of the closure shaft 2080 with a male coupler 51 attached
to a first drive shaft in a surgical instrument. Rotation of the
closure shaft 2080 in a first direction will cause the closure nut
2084 to drive the closure beam assembly 2072 in the distal
direction "DD". Rotation of the closure shaft 2080 in an opposite
direction will likewise result in the proximal travel of the
closure nut 2084 and the closure beam assembly 2072.
As indicated above, the distal end 2074 of the closure beam
assembly 2072 is configured to operably support the cartridge
housing 2062 of a cartridge module 2060 therein. The cartridge
module 2060 includes a plurality of surgical staples (not shown) on
a staple driver (not shown) that, when axially advanced, drives the
surgical staples out of their respective pockets 2066 positioned on
each side of a slot 1068 that is configured to accommodate the
passage of a knife member 2115 therethrough. The cartridge module
2060 may, for example, be somewhat similar to the cartridge modules
disclosed in, for example, U.S. Pat. Nos. 6,988,650 and 7,134,587,
which have both been incorporated by reference in their respective
entireties herein excepted for any noted differences. The end
effector 2000 may be disposed of after a single use or the end
effector 2000 may be reusable by replacing the spent cartridge
module during an ongoing procedure or for a new procedure after
being resterilized.
The end effector 2000 further includes a firing system 2100 which
includes a firing bar assembly 2112 that is configured to be
slidably received within the open bottom of the closure beam
assembly 2072. See FIG. 39. In one form, the firing system 2100
further includes a firing shaft 2102 that has a threaded distal end
2104 and a proximal portion 2106 that has a square cross-sectional
shape. The threaded distal end 2104 is threadably received within a
threaded firing nut 2110 that is attached to the proximal end of
the firing bar assembly 2112. The threaded firing nut 2110 is sized
to be slidably received within an axial cavity 2085 within the
closure nut assembly 2084. See FIG. 41. Such arrangement permits
the firing nut 2110 to be axially advanced with the closure nut
assembly 2084 when the end effector 2000 is moved to a closed
position and then move axially relative to the closure nut 2084 and
closure beam assembly 2072 when the firing system 2100 is actuated.
The firing shaft 2102 defines a firing shaft axis FSA-FSA that is
parallel with or substantially parallel with the closure shaft axis
CSA-CSA. See, e.g., FIG. 41. As can also be seen in FIGS. 39 and
41, the proximal portion 2106 of the firing shaft 2102 is slidably
received within an elongated passage 2105 within a female socket
coupler 57' that is otherwise identical to the female socket
couplers described herein. The elongated passage 2105 has a square
cross-sectional shape that is sized to slidably receive the
proximal portion 2106 of the firing shaft 2102 therein. Such
arrangement permits the firing shaft 2102 to move axially relative
to the female socket coupler 57' while being rotatable with the
female socket coupler 57'. Thus, when the closure beam assembly
2072 is advanced in the distal direction "DD" upon actuation of the
first drive system in the surgical instrument, the firing nut 2110
will be carried in the distal direction "DD" within the closure nut
assembly 2084. The proximal portion 2106 of the firing shaft 2102
will move axially within the passage 2105 in the female socket
coupler 57' while remaining engaged therewith. Thereafter,
activation of the second drive system in one rotary direction in
the surgical instrument which is operably coupled to the female
socket coupler 57' will rotate the firing shaft 2102 which will
cause the firing bar assembly 2112 to move in the distal direction
"DD". As the firing bar assembly 2112 moves in the distal
direction, the knife bar 2115 is advanced distally through the
cartridge module 2060. Actuation of the second drive system in a
second rotary direction will cause the firing bar assembly 2112 to
move in the proximal direction "PD".
The distal end of the firing bar assembly 2112 includes a drive
member 2114 and the knife member 2115 that protrudes distally
therefrom. As can be seen in FIG. 39, the knife member 2115 is
slidably received within an anvil arm portion 2142 of an anvil
assembly 2140 that is configured to be seated within a curved anvil
support portion 2025 of the support structure 2024. Further details
regarding the anvil assembly 2140 may be found in U.S. Pat. Nos.
6,988,650 and 7,134,587. The end effector 2000 may also include a
safety lockout mechanism 2150 (FIG. 39) for preventing the firing
of a previously fired cartridge module 2060. Details regarding the
interaction between the cartridge module 2060 and the safety
lockout mechanism may be found in U.S. Pat. Nos. 6,988,650 and
7,134,587.
The end effector 2000 also includes a tissue retaining pin
actuation mechanism 2160. The tissue retaining pin actuation
mechanism 2160 includes a saddle shaped slide 2162 that is
positioned on a top portion of the housing 2010. The slide 2162 is
pivotally connected to a push rod driver 2163 that is slidably
supported within the housing 2010. The push rod driver 2163 is
restrained for longitudinal movement along the long axis of the end
effector 2000. The push rod driver 2163 is connected to a push rod
2164 by a circumferential groove 2165 on the push rod 2164 that
snaps into a slot 2166 of the push rod driver 2163. See FIG. 41.
The distal end of the push rod 2164 contains a circumferential
groove 2167 that interconnects with a groove 2172 in a proximal end
of a coupler 2170 that is attached to the cartridge module 2160
(best seen in FIG. 41). The distal end of the coupler 2170 contains
a groove 2174 for interconnecting with a circumferential slot 2182
on a retaining pin 2180. Manual movement of the slide 2162 results
in movement of the push rod 2164. The distal movement or proximal
retraction of the push rod 2164 results in corresponding movement
of the retaining pin 2180. The retaining pin 2180 actuation
mechanism 2160 also operably interacts with the closure beam
assembly 2072 such that actuation of the closure system 2070 will
result in automatic distal movement of the retaining pin 2180 if it
has not already been manually moved to its most proximal position.
When the retaining pin 2180 is advanced, it extends through the
cartridge housing 2062 and into the anvil assembly 2140 to thereby
capture tissue between the cartridge module 2060 and the anvil
assembly 2140.
In one form, the retaining pin actuation mechanism 2160 includes a
yoke 2190 rotationally or pivotally supported within the housing
2010 via a pivot pin 2192. The closure beam assembly 2072 further
includes posts or lugs 2073 which extend laterally on both sides of
the closure beam assembly 2072 inside the housing 2010. These posts
2073 are slidably received within corresponding arcuate slots 2194
in the yoke 2190. The yoke 2190 contains cam pins 2196 positioned
to push camming surfaces 2168 on the push rod driver 2163. The yoke
2190 is not directly attached to the retaining pin 2180 so the
surgeon, if they chose, can advance the retaining pin 2180
manually. The retaining pin 2180 will advance automatically if the
surgeon chooses to leave the retaining pin 2180 alone when the
closure beam assembly 2072 is advanced distally to a closed
position. The surgeon must retract the retaining pin 2180 manually.
By constructing the retaining pin actuation mechanism 2160 in this
manner, manual closing and retracting of the retaining pin 2180 is
permitted. If the surgeon does not manually close the retaining pin
21280, the present retaining pin actuation mechanism 2160 will do
it automatically during instrument clamping. Further details
regarding actuation and use of the retaining pin may be found in
U.S. Pat. Nos. 6,988,650 and 7,134,587.
The end effector 2000 may also be equipped with various sensors
that are coupled to an end effector contact board 2120 mounted
within the end effector housing 2010. For example, the end effector
2000 may include a closure sensor 2122 that is mounted within the
end effector housing 2010 and is electrically coupled to the end
effector contact board 2120 such that when the end effector 2000 is
operably coupled to the surgical instrument, the closure sensor
2122 is in communication with the surgical instrument's control
system. The closure sensor 2122 may comprise a Hall effect sensor
7028 as shown hereinbelow in connection with FIGS. 61, 63 that is
configured to detect the position of a switch lug 2086 on the
closure nut 21084. See FIG. 40. In addition, a firing sensor 2124
may also be mounted within the end effector housing 2010 and be
arranged to detect the location of the firing nut 2110 within the
closure nut 2084. The firing sensor 2124 may comprise a Hall effect
sensor 7028 as described hereinbelow in connection with FIGS. 61,
63 and be electrically coupled to the end effector contact board
2120 for ultimate communication with the surgical instrument
control system as discussed herein. The contact board 2120 may be
positioned with the end effector housing 2020 such that when the
end effector 2000 is operably coupled to the surgical instrument,
the end effector contact board 2120 is electrically coupled to a
surgical instrument contact board 30 mounted in the surgical
instrument housing 12 as was discussed above.
Use of the end effector 2000 will now be explained in connection
with surgical instrument 10. It will be appreciated, however, that
the end effector 2000 may be operably coupled to various other
surgical instrument arrangements disclosed herein. Prior to use,
the closure shaft 2080 and the firing shaft 2102 are "clocked" or
positioned in their starting positions to facilitate attachment to
the first and second drive shafts 22, 42, respectively. To couple
the end effector 2000 to the surgical instrument 10, for example,
the clinician moves the end effector 2000 into a position wherein
the closure shaft axis CSA-CSA is in axial alignment with the first
drive shaft axis FDA-FDA and wherein the firing shaft axis FSA-FSA
is in axial alignment with the second drive shaft axis SDA-SDA. The
female socket coupler 57 on the closure shaft 2080 is inserted into
operable engagement with the male coupler 51 on the first drive
shaft 22. Likewise, the female socket coupler 57' on the firing
shaft 2102 is inserted into operable engagement with the male
coupler 51 on the second drive shaft 42. Thus, when in that
position, the closure shaft 2080 is operably coupled to the first
drive shaft 22 and the firing shaft 2102 is operably coupled to the
second drive shaft 42. The end effector contact board 1120 is
operably coupled to the surgical instrument contact board 30 so
that the sensors within the end effector 2000 are in operable
communication with the surgical instrument's control system. To
retain the end effector 2000 in coupled operable engagement with
the surgical instrument 10, the end effector 2000 includes a
retainer latch 2130 that is attached to the end effector housing
2010 and is configured to releasably engage a portion of the
instrument housing 12. The retainer latch 2130 may include a
retention lug 2132 that may releasable engage a retainer cavity 15
formed in the housing 12. See FIG. 1. When coupled together, the
closure sensor 2122 detects the position of the closure nut 2084
and the firing sensor 2124 detects the position of the firing nut
2110. That information is communicated to the surgical instrument
control system. In addition, the clinician may confirm that the
shiftable transmission assembly (or the transmission carriage 62
thereof) is in its first drive position. This may be confirmed by
the actuation of the indicator light 77 on the housing 12 as was
discussed above. If the shiftable transmission assembly 60 is not
in its first drive position, the clinician may actuate the firing
trigger 92 to move the transmission carriage 62 into the first
drive position, such that actuation of the rocker trigger 110 to
actuate the motor 80 will result in actuation of the first drive
system 20. Assuming that the closure system 2070 and firing system
2100 are each in their respective starting positions and the end
effector 2000 has an unspent staple cartridge module 2060 properly
installed therein, the clinician can then actuate the closure
system 2070 to capture the target tissue between the cartridge
module 2060 and the anvil assembly 2140.
The clinician may move the closure beam assembly 2072 distally by
actuating the rocker trigger 110 to actuate the motor 80 and rotate
the first drive shaft 22. This actuation moves the cartridge module
2060 toward the anvil assembly 2140 to clamp the target tissue
therebetween. As the closure beam 2072 moves distally, the
interaction of the posts 2073 and the yoke 2190 will cause
actuation of the tissue retaining actuation mechanism 2160 to drive
the retaining pin 2180 distally through the deck portion 2161 and
through the anvil assembly 2140 into a pin pocket 2141 (See FIG.
41) therein. The retaining pin 2180 serves to trap the target
tissue between the anvil assembly 2140 and the cartridge module
2060. Once the target tissue has been clamped between the anvil
assembly 2140 and the cartridge module 2060, the clinician may then
actuate the firing trigger 92 to move the transmission carriage 62
to its second drive position such that actuation of the motor 80
will result in the rotation of the second drive shaft 42. Once the
transmission carriage 62 is moved to the second drive position, the
clinician may once again actuate the rocker trigger 110 to actuate
the second drive system 40 and the firing system 2100 in the end
effector 2000 to drive the firing bar assembly 2112 distally which
also drives the knife member 2115 distally through the cartridge
module 2060 cutting the target tissue clamped between the anvil
assembly 2140 and the cartridge module 2060. As the firing bar
assembly 2112 moves distally, the drive member 2114 also drives the
surgical staples supported in the cartridge module 2060 out of the
cartridge module 2060 through the target tissue and into forming
contact with the anvil assembly 2140. Once the cutting and stapling
action is completed, the clinician can actuate the rocker trigger
110 to reverse the motor rotation and return the firing system 2100
to its starting position. The clinician may then return the
transmission carriage 62 to its first drive position by means of
the firing trigger 92 such that actuation of the rocker trigger 110
in the opposite direction will cause the motor 80 to rotate in a
reverse direction to return the closure beam assembly 2073 to its
starting position. As the closure beam assembly 2073 moves in the
proximal direction, the yoke 2190 may interact with the tissue
retaining pin actuation mechanism 2160 to withdraw the retaining
pin 2180 to its starting position. In the alternative, the
clinician may manually retract the retention pin 2180 to its
starting position using the saddle shaped slide 2162. The clinician
may retract the retention pin 2180 to its starting position prior
to actuating the closure system 2070 to return the closure beam
2072 to its starting position. Further details regarding use of
curved staple cutters may be found in U.S. Pat. Nos. 6,988,650 and
7,134,587.
FIGS. 42-45 depict a surgical end effector 3000 that comprises a
surgical cutting and fastening instrument of a type that may
commonly be referred to as a "circular surgical stapler". In
certain types of surgical procedures, the use of surgical staples
has become the preferred method of joining tissue and, as such,
specially configured surgical staplers have been developed for
these applications. For example, intra-luminal or circular staplers
have been developed for use in surgical procedures involving the
lower colon wherein sections of the lower colon are joined together
after a diseased portion has been excised. Circular staplers useful
for performing such procedures are disclosed, for example, in U.S.
Pat. Nos. 5,104,025; 5,205,459; 5,285,945; 5,309,927; 8,353,439;
and 8,360,297 which are each herein incorporated by reference in
their respective entireties.
As shown in FIG. 42, the end effector 3000 comprises an end
effector housing 3010 that may be fabricated from housing segments
3012, 3014 that are removably coupled together by screws, lugs,
snap features, etc. Protruding from the end effector housing 3010
is an elongated shaft assembly 3020. The elongated shaft assembly
3020 is configured to operably support and interact with a circular
tool head 3300 and an anvil 3320. As evidenced by the exemplary
U.S. Patents referenced above, a variety of different circular
staple cartridge and anvil arrangements are known in the art. As
shown in FIG. 43, for example, the circular stapler head 3300 may
include a casing member 3302 that supports a cartridge supporting
assembly in the form of a circular staple driver assembly 3304
therein that is adapted to interface with a circular staple
cartridge 3306 and drive staples supported therein into forming
contact with the staple forming undersurface 3326 of the anvil
3320. A circular knife member 3308 is also centrally disposed
within the staple driver assembly 3304. The proximal end of the
casing member 3302 may be coupled to an outer tubular shroud 3022
of the arcuate shaft assembly 3020 by a distal ferrule member 3024.
The anvil 3320 includes a circular body portion 3322 that has an
anvil shaft 3324 for attaching a trocar thereto. The anvil body
3322 has a staple forming undersurface 3326 thereon and may also
have a shroud 3328 attached to the distal end thereof. The anvil
shaft 3324 may be further provided with a pair of trocar retaining
clips or leaf-type springs 3330 that serve to releasably retain a
trocar 3042 in retaining engagement with the anvil shaft 3324 as
will be discussed in further detail below.
In one form, the shaft assembly 3020 includes a compression shaft
3030, a distal compression shaft portion 3032, and a tension band
assembly 3040 that are operably supported within the outer tubular
shroud 3022. A trocar tip 3042 is attached to a distal end of the
tension band assembly 3040 by fasteners 3041. As is known, the
trocar tip 3042 may be inserted into the anvil shaft 3324 of the
anvil 3320 and retained in engagement by trocar retaining clips
3330.
The surgical end effector 3000 further includes a closure system
3070 and a firing system 3100. In at least one form, the closure
system 3070 includes a closure nut assembly 3084 that is attached
to the proximal end of the tension band 3040. As can be seen in
FIGS. 42 and 43, the closure nut assembly 3084 includes a proximal
coupler member 3085 that is attached to the proximal end of the
tension band 3040 by a fastener 3087. The closure system 3070
further includes a threaded closure shaft 3080 that is in threaded
engagement with the closure nut 3084. The closure shaft 3080
defines a closure shaft axis CSA-CSA and has a female socket
coupler 57 attached to its proximal end to facilitate coupling of
the closure shaft 3080 with a male coupler 51 that is attached to a
first drive shaft in a surgical instrument. Rotation of the closure
shaft 3080 in a first direction will cause the closure nut 3084 to
drive the tension band assembly 3040 in the distal direction "DD".
Rotation of the closure shaft 3080 in an opposite direction will
likewise result in the proximal travel of the closure nut 3084 and
the tension band assembly 3040.
As can be seen in FIG. 43, the distal compression shaft portion
3032 is coupled to the staple driver assembly 3304. Thus, axial
movement of the compression shaft 3030 within the outer tubular
shroud 3022 causes the staple driver assembly 3304 to move axially
within the casing member 3302. The axial travel of the compression
shaft 3030 is controlled by the firing system 3100. In one form,
the firing system 3100 includes a threaded firing shaft 3102 that
is in threaded engagement with a threaded firing nut 3110 that is
attached to the proximal end of the compression shaft 3030. The
firing shaft 3102 defines a firing shaft axis FSA-FSA that is
parallel with or substantially parallel with the closure shaft axis
CSA-CSA. See, e.g., FIGS. 44 and 45. The proximal end of the firing
shaft 3102 has a female socket coupler 57 attached thereto to
facilitate coupling of the firing shaft 3102 with a male coupler 51
that is attached to a second drive shaft in a surgical instrument.
Activation of the second drive system of the surgical instrument in
one rotary direction will rotate the firing shaft 3102 in a first
direction to thereby drive the compression shaft 3030 in the distal
direction "DD". As the compression shaft 3030 moves in the distal
direction "DD", the circular staple driver assembly 3304 is driven
distally to drive the surgical staples in the staple cartridge 3306
into forming contact with the underside 3326 of the anvil body
3322. In addition, the circular knife member 3308 is driven through
the tissue clamped between the anvil body 3322 and the staple
cartridge 3306. Actuation of the second drive system in a second
rotary direction will cause the compression shaft 3030 to move in
the proximal direction "PD".
The end effector 3000 may also be equipped with various sensors
that are coupled to an end effector contact board 3120 mounted
within the end effector housing 3010. For example, the end effector
3000 may include closure sensor(s) 3122 that are mounted within the
end effector housing 3010 and are electrically coupled to the end
effector contact board 3120 such that when the end effector 3000 is
operably coupled to the surgical instrument, the closure sensor(s)
3122 are in communication with the surgical instrument's control
system. The closure sensor(s) 3122 may comprise Hall effect sensors
7028 as described hereinbelow in connection with FIGS. 61, 63 that
are configured to detect the position of the closure nut 3084. See
FIG. 44. In addition, firing sensor(s) 3124 may also be mounted
within the end effector housing 3010 and be arranged to detect the
location of the firing nut 3110 within the closure nut 3084. The
firing sensor(s) 3124 also may comprise Hall effect sensors 7028 as
described hereinbelow in connection with FIGS. 61, 63 and be
electrically coupled to the end effector contact board 3120 for
ultimate communication with the surgical instrument control system,
such as the handle processor 7024, for example, as described in
further below in connection with FIGS. 61, 63, 64. The contact
board 3120 may be positioned with the end effector housing 3020
such that when the end effector 3000 is operably coupled to the
surgical instrument, the end effector contact board 3120 is
electrically coupled to a surgical instrument contact board 30
mounted in the surgical instrument housing 12 as was discussed
above.
Use of the end effector 3000 will now be explained in connection
with surgical instrument 10. It will be appreciated, however, that
the end effector 3000 may be operably coupled to various other
surgical instrument arrangements disclosed herein. Prior to use,
the closure shaft 3080 and the firing shaft 3102 are "clocked" or
positioned in their starting positions to facilitate attachment to
the first and second drive shafts 22, 42, respectively. To couple
the end effector 3000 to the surgical instrument 10, for example,
the clinician moves the end effector 3000 into a position wherein
the closure shaft axis CSA-CSA is in axial alignment with the first
drive shaft axis FDA-FDA and wherein the firing shaft axis FSA-FSA
is in axial alignment with the second drive shaft axis SDA-SDA. The
female socket coupler 57 on the closure shaft 3080 is inserted into
operable engagement with the male coupler 51 on the first drive
shaft 22. Likewise, the female socket coupler 57 on the firing
shaft 3102 is inserted into operable engagement with the male
coupler 51 on the second drive shaft 42. Thus, when in that
position, the closure shaft 3080 is operably coupled to the first
drive shaft 22 and the firing shaft 3102 is operably coupled to the
second drive shaft 42. The end effector contact board 3120 is
operably coupled to the surgical instrument contact board 30 so
that the sensors 3122, 3124 within the end effector 3000 are in
operable communication with the surgical instrument's control
system. To retain the end effector 3000 in coupled operable
engagement with the surgical instrument 10, the end effector 3000
includes a retainer latch 3130 that is attached to the end effector
housing 3010 and configured to releasably engage a portion of the
instrument housing 12. The retainer latch 3130 may include a
retention lug 3132 that may releasable engage a retainer cavity 15
formed in the housing 12. See FIG. 1. When coupled together, the
closure sensor 3122 detects the position of the closure nut 3084
and the firing sensor 3124 detects the position of the firing nut
3110. That information is communicated to the surgical instrument
control system. In addition, the clinician may confirm that the
shiftable transmission assembly (or the transmission carriage 62
thereof) is in its first drive position. This may be confirmed by
the actuation of the indicator light 77 on the housing 12 as was
discussed above. If the shiftable transmission assembly 60 is not
in its first drive position, the clinician may actuate the firing
trigger 92 to move the transmission carriage 62 into the first
drive position, such that actuation of the rocker trigger 110 to
actuate the motor 80 will result in actuation of the first drive
system 20. Assuming that the closure system 3070 and firing system
3100 are each in their respective starting positions and the end
effector 3000 has an unspent staple cartridge module properly
installed therein, the end effector 3000 is ready for use.
As is known, when performing an anastomosis using a circular
stapler, the intestine may be stapled using a conventional surgical
stapler with multiple rows of staples being emplaced on either side
of a target section (i.e., specimen) of the intestine. The target
section is typically simultaneously cut as the section is stapled.
After removing the target specimen, the clinician inserts the anvil
3320 into the proximal portion of the intestine, proximal of the
staple line. This may be done by inserting the anvil body 3322 into
an entry port cut into the proximal intestine portion or the anvil
3320 can be placed trans-anally, by placing the anvil 3320 on the
distal end of the end effector 3000 and inserting the instrument
through the rectum. Next, the clinician attaches the anvil shaft
3324 to the trocar tip 3042 of the end effector 3000 and inserts
the anvil 3320 into the distal portion of the intestine. The
clinician may then tie the distal end of the proximal section of
the intestine to the anvil shaft 3324 using a suture or other
conventional tying device and also tie the proximal end of the
distal intestine portion around the anvil shaft 3324 using another
suture.
The clinician may then move the tension band assembly 3040, trocar
tip 3042 and anvil 3320 attached thereto proximally by actuating
the rocker trigger 110 to actuate the motor 80 and rotate the first
drive shaft 22. This actuation moves the anvil 3320 toward the
cartridge 3306 supported in the casing member 3302 of the stapler
head 3300 to close the gap therebetween and thereby engages the
proximal end of the distal intestine portion with the distal end of
the proximal intestine portion in the gap therebetween. The
clinician continues to actuate the first drive system 20 until a
desired amount of tissue compression is attained. Once the
intestine portions have been clamped between the anvil assembly
3320 and the stapler head 3300, the clinician may then actuate the
firing trigger 92 to move the transmission carriage 62 to its
second drive position such that actuation of the motor 80 will
result in the rotation of the second drive shaft 42. Once the
transmission carriage 62 is moved to the second drive position, the
clinician may once again actuate the rocker trigger 110 to actuate
the second drive system 40 and the firing system 3100 in the end
effector 3000 to drive the compression shaft 3030 distally which
also drives the circular staple driver assembly 3304 and the
circular knife member 3308 distally. Such action serves to cut the
clamped pieces of intestine and drive the surgical staples through
both clamped ends of the intestine, thereby joining the portions of
intestine and forming a tubular pathway. Simultaneously, as the
staples are driven and formed, the circular knife 3308 is driven
through the intestinal tissue ends, cutting the ends adjacent to
the inner row of staples. The clinician may then withdraw the end
effector 3000 from the intestine and the anastomosis is
complete.
FIGS. 46-49 illustrate another surgical end effector 3000' that may
be identical to the surgical end effector 3000 described above
except for the differences noted below. Those components of the
surgical end effector 3000' that are the same as the components in
the surgical end effector 3000 described above will be designated
with the same element numbers. Those components of surgical end
effector 3000' that may be similar in operation, but not identical
to corresponding components of the surgical end effector 3000, will
be designated with the same component numbers along with a "'". As
can be seen in FIGS. 46-49, the surgical end effector 3000'
includes a drive disengagement assembly, generally designated as
3090, that is advantageously configured to enable the clinician to
disengage a distal portion of a drive train from a proximal portion
of a drive train.
In the depicted embodiment, the drive disengagement assembly 3090
is used in connection with the closure system 3070' so that in the
event that the distal portion of the closure system becomes
inadvertently jammed or otherwise disabled, the clinician may
quickly mechanically separate the distal drive train portion from
the proximal drive train portion of the closure system. More
specifically and with reference to FIG. 47, the tension band
assembly 3040 and the trocar tip 3042 (See FIGS. 42, 43 and 45) may
also be referred to as the "distal drive train portion" 3092 of the
closure system 3070' and the closure shaft 3080 and closure nut
assembly 3084 may, for example, be referred to as the "proximal
drive train portion" 3094 of the closure system 3070'. As can be
seen in FIG. 47, one form of the drive disengagement assembly 3090
includes a distal coupler member 3095 that is attached to a
proximal end of the tension band assembly 3040. The distal coupler
member 3095 may be attached to the tension band assembly 3040 by
press fit, adhesive, solder, welding, etc. or any combination of
such attachment arrangements. The distal coupler member 3095 is
sized to be slidable received within a slot 3097 in the proximal
coupler member 3085' that is attached to the closure nut assembly
3084. The distal coupler member 3095 includes a distal hole 3096
therethrough that is configured to axially register with a proximal
hole 3098 in the proximal coupler member 3085' when the distal
coupler member 3095 is seated within the slot 3097. See FIG. 48.
The drive disengagement assembly 3090 further comprises a drive
coupler pin 3099 that is sized to be received within the axially
aligned holes 3096, 3098 to retainingly couple the distal coupler
member 3095 to the proximal coupler member 3085'. Stated another
way, the drive coupler pin 3099 serves to mechanically and
releasably couple the distal drive train portion 3092 to the
proximal drive train portion 3094. The drive coupler pin 3099
extends along a coupling axis CA-CA that is transverse to the
closure shaft axis CSA. To provide clearance for the drive coupler
pin 3099 to move axially relative to the firing nut 3110, an axial
slot 3111 is provided in the firing nut 3110. As can be seen in
FIG. 46, the end effector housing portion 3014' is provided with an
axially extending clearance slot 3016 to facilitate axial travel of
the drive coupler pin 3099 during the actuation of the closure
system 3070'. Such arrangement enables the clinician to quickly
decouple the distal drive train portion 3092 from the proximal
drive train portion 3094 at any time during use of the end effector
3000' simply by removing or pulling the drive coupler pin 3099
transversely out of the holes 3096, 3098 to permit the distal
coupler member 3095 to be disengaged from the proximal coupler
member 3085'.
While the drive disengagement assembly 3090 has been described in
connection with the closure system 3070' of the end effector 3000',
the drive disengagement assembly could, in the alternative, be
employed in connection with the firing system 3100 of the end
effector 3000'. In other arrangements, a drive disengagement
assembly 3090 could be associated with the closure system and a
second drive disengagement assembly may be associated with the
firing system. Thus, one or both of the proximal drive train
portions may be selectively mechanically separated from their
respective distal drive train portions. Further, such drive
disengagement assembly may be effectively employed in connection
with the closure and/or firing systems of at least some of other
surgical end effectors disclosed herein including but not
necessarily limited to, for example, end effector 1000 and end
effector 2000 and their respective equivalent arrangements.
FIGS. 50-53 illustrate another surgical end effector 2000' that may
be identical to the surgical end effector 2000 described above
except for the differences noted below. Those components of the
surgical end effector 2000' that are the same as the components in
the surgical end effector 2000 described above will be designated
with the same element numbers. Those components of surgical end
effector 2000' that may be similar in operation, but not identical
to corresponding components of the surgical end effector 2000, will
be designated with the same component numbers along with a "'". As
can be seen in FIGS. 51-53, the surgical end effector 2000' may be
provided with indicator arrangements for providing a visual
indication as to the firing status of the closure and firing
systems.
More particularly and with reference to FIGS. 51 and 52, the
closure system 2070 includes a closure system status assembly,
generally designated as 2090. In one form, for example, the closure
system status assembly 2090 includes a closure indicator member
2092 that is attached to or otherwise extends from the closure nut
2084'. The closure system status assembly 2090 further includes a
closure indicator window 2094 or opening in the end effector
housing 2010 such that the position of the closure indicator member
2092 may be assessed by the clinician by viewing the closure
indicator member 2092 through the closure indicator window 2094.
Similarly, the firing system 2100' may include a firing system
status assembly, generally designated as 2130. In one form, for
example, the firing system status assembly 2130 includes a firing
indicator member 2132 that is attached to or otherwise extends from
the firing nut 2110'. The firing system status assembly 2130
further includes a firing indicator window or opening 2134 in the
end effector housing 2010 such that the position of the firing
indicator member 2132 may be assessed by the clinician by viewing
the firing indicator member 2132 through the firing indicator
window 2134.
The closure system status assembly 2090 and the firing system
status assembly 2130 reveal the mechanical state of the closure
system 2070 and the firing system 2100. The mechanical state of the
distal end of the end effector can generally be observed by the
clinician, but it sometimes is covered or obstructed by tissue. The
mechanical state of the proximal portion of the end effector cannot
be seen without a window arrangement or protruding indicator. Color
coding on the exterior of the shaft arrangement and or on the
indicator may also be employed to provide the clinician
confirmation that the end effector has been fully closed or fired
(e.g., indicator on green for fully closed). For example, the
closure indicator member 2092 may have a closure mark 2093 thereon
that is viewable through the closure indicator window 2094. In
addition, the housing 2010 may have a first closure indicia 2095
and a second closure indicia 2096 adjacent to the closure indicator
window 2094 to assess the position of the closure indicator 2092.
For example, the first closure indicia 2095 may comprise a first
bar that has a first color (e.g., range, red, etc.) and the second
closure indicia may comprise a bar or section of a second color
that differs from the first color (e.g., green). When the closure
mark 2093 on the closure indicator member 2092 is aligned on the
proximal-most end of the first closure indicia bar 2095 (this
position is represented by element number 2097 in FIG. 50), the
clinician can observe that the closure system 2070 is in its
unactuated position. When the closure mark 2093 is aligned within
the first closure indicia bar 2095, the clinician can observe that
the closure system 2070 is partially actuated--but not fully
actuated or fully closed. When the closure mark 2093 is aligned
with the second closure indicia 2096 (represented by element number
2098 in FIG. 50), the clinician can observe that the closure system
2070 is in its fully actuated or fully closed position.
Similarly, the firing indicator member 2132 may have a firing mark
2133 thereon that is viewable through the firing indicator window
2134. In addition, the housing segment 2014' may have a first
firing indicia 2135 and a second firing indicia 2136 adjacent to
the firing indicator window 2134 to assess the position of the
firing indicator 2132. For example, the first firing indicia 2135
may comprise a first firing bar that has a first firing color
(e.g., orange, red, etc.) and the second firing indicia may
comprise a second firing bar or section of a second firing color
that differs from the first firing color (e.g., green). When the
firing mark 2133 on the firing indicator member 2132 is aligned on
the proximal-most end of the first firing indicia bar 2135 (this
position is represented by element number 2137 in FIG. 50), the
clinician can observe that the firing system 2100 is in its
unactuated position. When the firing mark 2133 is aligned within
the first firing indicia bar 2135, the clinician can observe that
the firing system 2100 is partially actuated--but not fully
actuated or fully fired. When the firing mark 2133 is aligned with
the second firing indicia 2136 (represented by element number 2138
in FIG. 50), the clinician can observe that the firing system 2170
is in its fully actuated or fully fired position. Thus, the
clinician may determine the extent to which the closure and firing
systems have been actuated by observing the position of the
indicators within their respective windows.
In alternative arrangement, the indicator windows 2094 and 2134 may
be provided in the end effector housing 2010' such that when the
closure system 2070 and firing system 2100' are in their starting
or unactuated positions, their respective indicators 2092, 2132 may
be in full view in the indicator windows 2094, 2134, respectively.
As the closure system 2070 and firing system 2100' are actuated,
their indicators 2092, 2132 will move out of their indicator
windows 2094, 2134. The clinician may then assess how far each of
the systems 2070, 2100' have been actuated by observing how much of
the indicators 2092, 2132 are viewable through the windows 2094,
2134.
The closure system status assembly 2090 and the firing system
status assembly 2130 reveal the mechanical state of the closure
system 2070 and the firing system 2100 whether the end effector
2000' is attached to the surgical instrument handle or housing or
not. When the end effector 2000 is attached to the handle or
housing, the closure system status assembly 2090 and the firing
system status assembly 2130 will afford the clinician with the
opportunity to determine the mechanical states of those systems as
a primary or secondary check to the state shown on the surgical
instrument handle or housing. The closure system status assembly
2090 and the firing system status assembly 2130 also serve as a
primary check when the end effector 2000' is detached from the
surgical instrument handle or housing. Further, such closure system
and firing system status assemblies may be effectively employed in
connection with the closure and/or firing systems of at least some
of other surgical end effectors disclosed herein including but not
necessarily limited to, for example, end effector 1000 and end
effector 3000 and their respective equivalent arrangements.
FIGS. 54-60 illustrate another surgical end effector 2000'' that
may be identical to the surgical end effector 2000' described above
except for the differences noted below. Those components of the
surgical end effector 2000'' that are the same as the components in
the surgical end effector 2000' and/or end effector 2000 described
above will be designated with the same element numbers. Those
components of surgical end effector 2000'' that may be similar in
operation, but not identical to corresponding components of the
surgical end effector 2000' and/or 2000, will be designated with
the same component numbers along with a "'"'. As can be seen in
FIGS. 54-60, the surgical end effector 2000'' includes a drive
disengagement assembly, generally designated as 2200, that is
advantageously configured to enable the clinician to disengage a
distal portion of a drive train from a proximal portion of a drive
train.
In the depicted embodiment, the drive disengagement assembly 2200
is used in connection with the closure system 2070'' of the end
effector 2000'' so that in the event that the distal portion of the
closure system becomes inadvertently jammed or otherwise disabled,
the clinician may quickly mechanically separate the distal drive
train portion from the proximal drive train portion of the closure
system. More specifically and with reference to FIG. 56, the
closure beam assembly 2072 may also be referred to as the "distal
drive train portion" 2202 of the closure system 2070'' and the
closure shaft 2080 and closure nut assembly 2084'' may, for
example, be referred to as the "proximal drive train portion" 2204
of the closure system 2070''. As can be seen in FIG. 59, the
closure nut assembly 2084'', while substantially identical to
closure nut assemblies 2084, 2084' described above, is provided in
two parts. More specifically, closure nut assembly 2084'' includes
an upper threaded portion 2210 that is in threaded engagement with
the closure shaft 2080 and a lower portion 2214 that supports the
firing nut 2110 for axial movement therein in the manner discussed
above. The lower portion 2214 of the closure nut assembly 2084'' is
directly attached to the closure beam assembly 2072 and includes
the closure indicator member 2092'' that functions in the same
manner as closure indicator 2092 discussed above.
In at least one form, the drive disengagement assembly 2200
includes a drive coupler pin 2220 that serves to couple the lower
portion 2214 of the closure nut assembly 2084'' to the upper
portion 2210. As can be seen in FIG. 59, for example, the upper
portion 2210 of the closure nut assembly 2084'' includes a first
dovetail slot segment 2212 that is configured for alignment with a
second dovetail slot segment 2216 in the lower portion 2214 of the
closure nut assembly 2084''. When the first and second dovetail
slot segments 2212, 2216 are aligned as shown in FIG. 59, they form
hole 2215 into which the barrel portion 2222 of the drive coupler
pin 2220 may be inserted to couple the upper and lower portions
2010 and 2014 together as shown in FIG. 56. Stated another way, the
drive coupler pin 2220 serves to mechanically and releasably couple
the distal drive train portion 2202 to the proximal drive train
portion 2204 of the closure system 2070''. The drive coupler pin
2220 extends along a coupling axis CA-CA that is transverse to the
closure shaft axis CSA. See FIG. 56. To provide clearance for the
drive coupler pin 2220 to move axially with the closure nut
assembly 2084'', the housing segment 2014'' of the end effector
housing 2010'' is provided with an axially extending clearance slot
2224. Such arrangement enables the clinician to quickly decouple
the distal drive train portion 2202 from the proximal drive train
portion 2204 at any time during use of the end effector 2000''
simply by removing or pulling the drive coupler pin 2220
transversely out of the hole 2215 formed by the dovetail slot
segments 2212, 2216. Once the drive coupler pin 2220 has been
removed from the hole 2215, the lower portion 2214 of the closure
assembly 2084'' can be moved relative to the upper portion 2212 to
thereby enable the tissue to be released from between the cartridge
module 2060 and the anvil assembly 2140.
FIGS. 54-56 depict the end effector 2000'' in an "open" position
prior to use. As can be seen in those Figures, for example, a
cartridge module 2060 is installed and ready for use. FIGS. 57 and
58 depict the end effector 2000 in its closed state. That is, the
closure beam 2080 has been rotated to drive the closure nut
assembly 2084'' in the distal direction "DD". Because the lower
portion 2214 of the closure nut assembly 2084'' is attached to the
upper portion 2210 by the drive coupler pin 2220, the closure beam
assembly 2072 (because it is attached to the lower portion 2214) is
also moved distally to its closed position to clamp target tissue
between the cartridge module 2260 and the anvil assembly 2140. As
was also discussed above, the saddle shaped slide button 2162 on
the housing 2010'' is moved distally to cause the retaining pin to
extend through the cartridge housing and into the anvil assembly
2140 to thereby capture the tissue between the cartridge module
2060 and the anvil assembly 2140. As was discussed in detail above,
when the closure nut assembly 2084'' moves distally, the firing nut
2110 also moves distally which draws the proximal portion 2106 of
the firing shaft 2102 out of the elongated passage within the
female socket coupler 57'. See FIG. 58. FIG. 59 illustrates the
drive coupler pin 2220 removed from the hole 2215 formed by the
dovetail slot segments 2212, 2216. Once the drive coupler pin 2220
has been removed from the hole 2215, the proximal drive train
portion 2202 (closure beam assembly 2072) may be moved in the
proximal direction "PD" by moving the saddle shaped slide button
2162 proximally. Such movement of the button 2162 will move the
closure beam assembly 2072, the lower portion 2014 of the closure
nut assembly 2084'', the firing nut 2110 and firing bar assembly
2112, as well as the retaining pin proximally. Such movement will
enable the tissue to be released from between the cartridge module
2060 and the anvil assembly 2140.
FIG. 61 is a block diagram of a modular motor driven surgical
instrument 7000 comprising a handle portion 7002 and a shaft
portion 7004. The modular motor driven surgical instrument 7000 is
representative of the modular surgical instrument system generally
designated as 2 that, in one form, includes a motor driven surgical
instrument 10 that may be used in connection with a variety of
surgical end effectors such as, for example, end effectors 1000,
2000 and 3000 as shown in FIG. 1. Having described various
functional and operational aspects of the modular motor driven
surgical instrument 10 in detail hereinabove, for conciseness and
clarity of disclosure such details will not be repeated in the
following description associated with FIGS. 61-64. Rather, the
description of FIGS. 61-64 that follows will focus primarily on the
functional and operational aspects of the electrical systems and
subsystems of the modular motor driven surgical instrument 7000,
which can be applied in whole or in part to the modular motor
driven surgical instrument described hereinabove.
Accordingly, turning now to FIG. 61 the modular motor driven
surgical instrument 7000 comprises a handle portion 7002 and a
shaft portion 7004. The handle and shaft portions 7002, 7004
comprise respective electrical subsystems 7006, 7008 electrically
coupled by a communications and power interface 7010. The
components of the electrical subsystem 7006 of the handle portion
7002 are supported by the previously described control board 100.
The communications and power interface 7010 is configured such that
electrical signals and power can be readily exchanged between the
handle portion 7002 and the shaft portion 7004.
In the illustrated example, the electrical subsystem 7006 of the
handle portion 7002 is electrically coupled to various electrical
elements 7012 and a display 7014. In one instance, the display 7014
is an organic light emitting diode (OLED) display, although the
display 7014 should not be limited in this context. The electrical
subsystem 7008 of the shaft portion 7004 is electrically coupled to
various electrical elements 7016, which will be described in detail
hereinbelow.
In one aspect, the electrical subsystem 7006 of the handle portion
7002 comprises a solenoid driver 7018, an accelerometer 7020, a
motor controller/driver 7022, a handle processor 7024, a voltage
regulator 7026, and is configured to receive inputs from a
plurality of switches 7028. Although, in the illustrated
embodiment, the switches 7028 are designated as Hall switches, the
switches 7028 are not limited in this context. In various aspects,
the Hall effect sensors or switches 7028 may be located either in
the end effector portion of the instrument, the shaft, and/or the
handle.
In one aspect, the electrical subsystem 7006 of the handle portion
7002 is configured to receive signals from a solenoid 7032, a clamp
position switch 7034, a fire position switch 7036, a motor 7038, a
battery 7040, an OLED interface board 7042, and open switch 7044,
close switch 7046, and fire switch 7048. In one aspect, the motor
7038 is a brushless DC motor, although in various aspects the motor
is not limited in this context. Nevertheless, the description of
the motor 7038 may be applicable to the motors 80, 480, 580, 680,
750, and 780 previously described. The solenoid 7032 is
representative example of the previously described shifter solenoid
71.
In one aspect, the electrical subsystem 7008 of the shaft portion
7004 comprises a shaft processor 7030. The electrical subsystem
7008 of the shaft is configured to receive signals from various
switches and sensors located in the end effector portion of the
instrument that are indicative of the status of the clamp jaws and
cutting element in the end effector. As illustrated in FIG. 61, the
electrical subsystem 7008 of the shaft is configured to receive
signals from a clamp opened status switch 7050, a clamp closed
status switch 7052, a fire begin status switch 7054, and a fire end
status switch 7056, which are indicative of the states of the clamp
and cutting element.
In one aspect, the handle processor 7024 may be a general purpose
microcontroller suitable for medical and surgical instrument
applications and including motion control. In one instance, the
handle processor 7024 may be a TM4C123BH6ZRB microcontroller
provided by Texas Instruments. The handle processor 7024 may
comprise a 32-bit ARM.RTM. Cortex.TM.-M4 80-MHz processor core with
System Timer (SysTick), integrated nested vectored interrupt
controller (NVIC), wake-up interrupt controller (WIC) with clock
gating, memory protection unit (MPU), IEEE754-compliant
single-precision floating-point unit (FPU), embedded trace macro
and trace port, system control block (SCB) and thumb-2 instruction
set, among other features. The handle processor 7024 may comprise
on-chip memory, such as 256 KB single-cycle Flash up to 40 MHz. A
prefetch buffer can be provided to improve performance above 40
MHz. Additional memory includes a 32 KB single-cycle SRAM, internal
ROM loaded with TivaWare.TM. for C Series software, 2 KB EEPROM,
among other features, such as two Controller Area Network (CAN)
modules, using CAN protocol version 2.0 part A/B and with bit rates
up to 1 Mbps.
In one aspect, the handle processor 7024 also may comprise advanced
serial integration including eight universal asynchronous
receiver/transmitters (UARTs) with IrDA, 9-bit, and ISO 7816
support (one UART with modem status and modem flow control). Four
Synchronous Serial Interface (SSI) modules are provided to support
operation for Freescale SPI, MICROWIRE or Texas Instruments
synchronous serial interfaces. Additionally, six Inter-Integrated
Circuit (I2C) modules provide Standard (100 Kbps) and Fast (400
Kbps) transmission and support for sending and receiving data as
either a master or a slave, for example.
In one aspect, the handle processor 7024 also comprises an ARM
PrimeCell.RTM. 32-channel configurable .mu.DMA controller,
providing a way to offload data transfer tasks from the
Cortex.TM.-M4 processor, allowing for more efficient use of the
processor and the available bus bandwidth. Analog support
functionality includes two 12-bit Analog-to-Digital Converters
(ADC) with 24 analog input channels and a sample rate of one
million samples/second, three analog comparators, 16 digital
comparators, and an on-chip voltage regulator, for example.
In one aspect, the handle processor 7024 also comprises advanced
motion control functionality such as eight Pulse Width Modulation
(PWM) generator blocks, each with one 16-bit counter, two PWM
comparators, a PWM signal generator, a dead-band generator, and an
interrupt/ADC-trigger selector. Eight PWM fault inputs are provided
to promote low-latency shutdown. Two quadrature encoder interface
(QEI) modules are provided, with a position integrator to track
encoder position and velocity capture using built-in timer.
In one aspect, two ARM FiRM-compliant watchdog timers are provided
along with six 32-bit general-purpose timers (up to twelve 16-bit).
Six wide 64-bit general-purpose timers (up to twelve 32-bit) are
provided as well as 12 16/32-bit and 12 32/64-bit capture compare
PWM (CCP) pins, for example. Up to 120 general purpose
input/outputs (GPIOs) can be provided depending on configuration,
with programmable control for GPIO interrupts and pad
configuration, and highly flexible pin multiplexing. The handle
processor 7024 also comprises lower-power battery-backed
hibernation module with real-time clock. Multiple clock sources are
provided for the microcontroller system clock and include a
precision oscillator (PIOSC), main oscillator (MOSC), 32.768-kHz
external oscillator for the hibernation module, and an internal
30-kHz oscillator.
In one aspect, the accelerometer 7020 portion of the electrical
subsystem 7006 of the handle portion 7002 may be a
micro-electromechanical system (MEMS) based motion sensor. As is
well known, MEMS technology combines computers with tiny mechanical
devices such as sensors, valves, gears, mirrors, and actuators
embedded in semiconductor chips. In one example, the MEMS based
accelerometer 7020 may comprise an ultra low power 8 bit 3-axis
digital accelerometer such as the LIS331DLM provided by
STMicroelectronics, for example.
In one aspect, the accelerometer 7020, such as the LIS331DLM, may
be an ultra low-power high performance three axes linear
accelerometer belonging to the "nano" family, with digital I2C/SPI
serial interface standard output, with is suitable for
communicating with the handle processor 7024. The accelerometer
7020 may feature ultra low-power operational modes that allow
advanced power saving and smart sleep to wake-up functions. The
accelerometer 7020 may include dynamically user selectable full
scales of .+-.2 g/.+-.4 g/.+-.8 g and it is capable of measuring
accelerations with output data rates from 0.5 Hz to 400 Hz, for
example.
In one aspect, the accelerometer 7020 may include self-test
capability to allow the user to check the functioning of the sensor
in the final application. The accelerometer 7020 may be configured
to generate an interrupt signal by inertial wake-up/free-fall
events as well as by the position of the instrument itself.
Thresholds and timing of interrupt generators may be programmable
on the fly.
In one aspect, the motor controller/driver 7022 may comprise a
three phase brushless DC (BLDC) controller and MOSFET driver, such
as the A3930 motor controller/driver provided by Allegro, for
example. The 3-phase brushless DC motor controller/driver 7022 may
be employed with N-channel external power MOSFETs to drive the BLDC
motor 7038, for example. In one instance, the motor
controller/driver 7022 may incorporate circuitry required for an
effective three-phase motor drive system. In one instance, the
motor controller/driver 7022 comprises a charge pump regulator to
provide adequate (>10 V) gate drive for battery voltages down to
7 V, and enables the motor controller/driver 7022 to operate with a
reduced gate drive at battery voltages down to 5.5 V. Power
dissipation in the charge pump can be minimized by switching from a
voltage doubling mode at low supply voltage to a dropout mode at
the nominal running voltage of 14 V. In one aspect, a bootstrap
capacitor is used to provide the above-battery supply voltage
required for N-channel MOSFETs. An internal charge pump for the
high-side drive allows for dc (100% duty cycle) operation.
An internal fixed-frequency PWM current control circuitry regulates
the maximum load current. The peak load current limit may be set by
the selection of an input reference voltage and external sensing
resistor. The PWM frequency can be set by a user-selected external
RC timing network. For added flexibility, the PWM input can be used
to provide speed and torque control, allowing the internal current
control circuit to set the maximum current limit.
The efficiency of the motor controller/driver 7022 may be enhanced
by using synchronous rectification. The power MOSFETs are protected
from shoot-through by integrated crossover control with dead time.
The dead time can be set by a single external resistor.
In one aspect, the motor controller/driver 7022 indicates a logic
fault in response to the all-zero combination on the Hall inputs.
Additional features of the motor controller/driver 7022 include
high current 3-phase gate drive for N-channel MOSFETs, synchronous
rectification, cross-conduction protection, charge pump and top-off
charge pump for 100% PWM, integrated commutation decoder logic,
operation over 5.5 to 50 V supply voltage range, diagnostics
output, provides +5 V Hall sensor power, and has a low-current
sleep mode.
In one aspect, the modular motor driven surgical instrument 7000 is
equipped with a brushless DC electric motor 7038 (BLDC motors, BL
motors) also known as electronically commutated motors (ECMs, EC
motors). One such motor is the BLDC Motor B0610H4314 provided by
Portescap. The BLDC Motor B0610H4314 can be autoclavable. The BLDC
motor 7038 is a synchronous motor that is powered by a DC electric
source via an integrated inverter/switching power supply, which
produces an AC electric signal to drive the motor such as the motor
controller/driver 7022 described in the immediately foregoing
paragraphs. In this context, AC, alternating current, does not
imply a sinusoidal waveform, but rather a bi-directional current
with no restriction on waveform. Additional sensors and electronics
control the inverter output amplitude and waveform (and therefore
percent of DC bus usage/efficiency) and frequency (i.e., rotor
speed).
The rotor part of the BLDC motor 7038 is a permanent magnet
synchronous motor, but in other aspects, BLDC motors can also be
switched reluctance motors, or induction motors. Although some
brushless DC motors may be described as stepper motors, the term
stepper motor tends to be used for motors that are designed
specifically to be operated in a mode where they are frequently
stopped with the rotor in a defined angular position.
In one aspect, the BLDC motor controller/driver 7022 must direct
the rotation of the rotor. Accordingly, the BLDC motor
controller/driver 7022 requires some means of determining the
rotor's orientation/position (relative to the stator coils.) In one
instance, the rotor part of the BLDC motor 7038 is configured with
Hall effect sensors or a rotary encoder to directly measure the
position of the rotor. Others measure the back electromotive force
(EMF) in the undriven coils to infer the rotor position,
eliminating the need for separate Hall effect sensors, and
therefore are often called sensorless controllers.
In one aspect, the BLDC motor controller/driver 7022 contains 3
bi-directional outputs (i.e., frequency controlled three phase
output), which are controlled by a logic circuit. Other, simpler
controllers may employ comparators to determine when the output
phase should be advanced, while more advanced controllers employ a
microcontroller to manage acceleration, control speed and fine-tune
efficiency.
Actuators that produce linear motion are called linear motors. The
advantage of linear motors is that they can produce linear motion
without the need of a transmission system, such as a ball-and-lead
screw, rack-and-pinion, cam, gears or belts that would be necessary
for rotary motors. Transmission systems are known to introduce less
responsiveness and reduced accuracy. The direct drive, BLDC motor
7038 may comprise a slotted stator with magnetic teeth and a moving
actuator, which has permanent magnets and coil windings. To obtain
linear motion, the BLDC motor controller/driver 7022 excites the
coil windings in the actuator causing an interaction of the
magnetic fields resulting in linear motion.
In one aspect, the BLDC motor 7038 is a Portescap BO610 brushless
DC motor that provides a combination of durability, efficiency,
torque, and speed in a package suitable for use in the modular
motor driven surgical instrument 7000. Such BLDC motors 7038
provide suitable torque density, speed, position control, and long
life. The slotless BLDC motor 7038 uses a cylindrical ironless coil
made in the same winding technique as ironless DC motors. The
slotted BLDC motors 7038 also are autoclavable. The slotted BLDC
motor 7038 may include a stator that consists of stacked steel
laminations with windings placed in the slots that are axially cut
along the inner periphery. The brushless DC slotted BLDC motor 7038
provides high torque density and heat dissipation, along with high
acceleration. The three-phase configuration of the BLDC motor 7038
includes Wye connections, Hall effect sensors, supply voltage of
4.5-24V. The housing of the BLDC motor 7038 may be made of a 303SS
material and the shaft may be made of a 17-4 ph material.
In one aspect, the Hall switches 7028 may be Hall effect sensors
known under the trade name BU520245G and are unipolar integrated
circuit type Hall effect sensors. These sensors operate over a
supply voltage range of 2.4V to 3.6V.
In one aspect, the voltage regulator 7026 replaces the usual PNP
pass transistor with a PMOS pass element. Because the PMOS pass
element behaves as a low-value resistor, the low dropout voltage,
typically 415 mV at 50 A of load current, is directly proportional
to the load current. The low quiescent current (3.2 .mu.A
typically) is stable over the entire range of output load current
(0 mA to 50 mA).
In one aspect, the voltage regulator 7026 is a low-dropout (LDO)
voltage regulator such as the TPS71533 LDO voltage regulator
provided by Texas Instruments. Such LDO voltage regulators 7026
provide the benefits of high input voltage, low-dropout voltage,
low-power operation, and miniaturized packaging. The voltage
regulator 7026 can operate over an input range of 2.5 V to 24 V,
are stable with any capacitor (.gtoreq.0.47 .mu.F). The LDO voltage
and low quiescent current allow operations at extremely low power
levels and thus the voltage regulator 7026 is suitable for powering
battery management integrated circuits. Specifically, the voltage
regulator 7026 is enabled as soon as the applied voltage reaches
the minimum input voltage and the output is quickly available to
power continuously operating battery charging integrated circuits
of the handle portion 7002.
In one aspect, the battery 7040 is a lithium-ion polymer (LIPO)
battery, polymer lithium ion or more commonly lithium polymer
batteries (abbreviated Li-poly, Li-Pol, LiPo, LIP, PLI or LiP) are
rechargeable (secondary cell) batteries. The LIPO battery 7040 may
comprise several identical secondary cells in parallel to increase
the discharge current capability, and are often available in series
"packs" to increase the total available voltage.
Additional power for the modular motor driven surgical instrument
7000 may be provided by a synchronous step down DC-DC converter
7058 (FIG. 63-A) optimized for applications with high power density
such as the TPS6217X family provided by Texas Instruments. A high
switching frequency of typically 2.25 MHz may be employed to allow
the use of small inductors and provides fast transient response as
well as high output voltage accuracy by utilization of the
DCS-Control.TM. topology.
With a wide operating input voltage range of 3V to 17V, the
synchronous step down DC-DC converter 7058 (FIG. 63-A) is well
suited for modular motor driven surgical instrument 7000 systems
powered from either a Li-Ion or other battery as well as from 12V
intermediate power rails. In one aspect, a synchronous step down
DC-DC converter 7058 supports up to 0.5 A continuous output current
at output voltages between 0.9V and 6V (with 100% duty cycle
mode).
Power sequencing is also possible by configuring the Enable and
open-drain Power Good pins. In Power Save Mode, the synchronous
step down DC-DC converter 7058 (FIG. 63-A) show quiescent current
of about 17 .mu.A from VIN. Power Save Mode is entered
automatically and seamlessly if load is small and maintains high
efficiency over the entire load range. In Shutdown Mode, the
synchronous step down DC-DC converter 7058 is turned off and
shutdown current consumption is less than 2 .mu.A.
In one aspect, the OLED interface 7042 is an interface to the OLED
display 7014. The OLED display 7014 comprises organic
light-emitting diodes in which the emissive electroluminescent
layer is a film of organic compound which emits light in response
to an electric current. This layer of organic semiconductor is
situated between two electrodes, where in general at least one of
these electrodes is transparent. The OLED display 7014 may include
OLEDs from two main families. Those based on small molecules and
those employing polymers. Adding mobile ions to an OLED creates a
light-emitting electrochemical cell or LEC, which has a slightly
different mode of operation. The OLED display 7014 can use either
passive-matrix (PMOLED) or active-matrix addressing schemes.
Active-matrix OLEDs (AMOLED) require a thin-film transistor
backplane to switch each individual pixel on or off, but allow for
higher resolution and larger display sizes. In one instance, the
OLED display 7014 works without a backlight. Thus, it can display
deep black levels and can be thinner and lighter than a liquid
crystal display (LCD), making it ideally suitable for use on the
handle portion 7002 of the modular motor driven surgical instrument
7000.
In one aspect, the shaft processor 7030 of the electrical subsystem
7008 of the shaft portion 7004 may be implemented as an ultra-low
power 16-bit mixed signal MCU, such as the MSP430FR5738 Ultra-low
Power MCU provided by Texas Instruments. The shaft processor 7030
is an ultra-low power microcontroller consisting of multiple
devices featuring embedded FRAM nonvolatile memory, ultra-low power
16-bit MSP430 CPU, and additional peripherals targeted for various
applications. The architecture, FRAM, and peripherals, combined
with seven low-power modes, are optimized to achieve extended
battery life in portable and wireless sensing applications. FRAM is
a new nonvolatile memory that combines the speed, flexibility, and
endurance of SRAM with the stability and reliability of flash, all
at lower total power consumption. Peripherals include 10-bit A/D
converter, 16-channel comparator with voltage reference generation
and hysteresis capabilities, three enhanced serial channels capable
of I2C, SPI, or UART protocols, internal DMA, hardware multiplier,
real-time clock, five 16-bit timers, among other features.
The shaft processor 7030 includes a 16-bit RISC architecture up to
24 MHz clock and operates over a wide supply voltage range of 2 V
to 3.6 V and is optimized for ultra-low power modes. The shaft
processor 7030 also includes intelligent digital peripherals, an
ultra-low power ferroelectric RAM, and up to 16 KB of nonvolatile
memory. The embedded microcontroller provides ultra-low power
writes, a fast write cycle of 125 ns per word, 16 KB in 1 ms, and
includes built in Error Coding and Correction (ECC) and Memory
Protection Unit (MPU).
Having described the electrical system, subsystems, and components
of the handle and shaft portions 7002, 7004 of the modular motor
driven surgical instrument 7000, the functional aspects of the
control system will now be described. Accordingly, in operation,
the electrical subsystem 7006 of the handle portion 7002 is
configured to receive signals from the open switch 7044, close
switch 7046, and fire switch 7048 supported on a housing of the
handle portion 7002. When a signal is received from the close
switch 7046 the handle processor 7024 operates the motor 7038 to
initiate closing the clamp arm. Once the clamp is closed, the clamp
closed status switch 7052 in the end effector sends a signal to the
shaft processor 7030, which communicates the status of the clamp
arm to the handle processor 7024 through the communications and
power interface 7010.
Once the target tissue has been clamped, the fire switch 7048 may
be actuated to generate a signal, which is received by the handle
processor 7024. In response, the handle processor 7024 actuates the
transmission carriage to its second drive position such that
actuation of the motor 7038 will result in the rotation of a second
drive shaft, as described in detail above in connection with FIGS.
1-8. Once the cutting member is positioned, the fire begin status
switch 7054 located in the end effector sends a signal indicative
of the position of the cutting member to the shaft processor 7030,
which communicates the position back to the handle processor 7024
through the communications and power interface 7010.
Actuating the first switch 7048 once again sends a signal to the
handle processor 7038, which in response actuates the second drive
system and the firing system in the end effector to drive the
tissue cutting member and wedge sled assembly distally through the
surgical staple cartridge. Once the tissue cutting member and wedge
sled assembly have been driven to their distal-most positions in
the surgical staple cartridge, the fire end switch 7056 sends a
signal to the shaft processor 7030 which communicates the position
back to the handle processor 7024 through the interface 7010. Now
the fire switch 7048 may be activated to send a signal to the
handle processor 7024, which operated the motor 7038 in reverse
rotation to return the firing system to its starting position.
Actuating the open switch 7044 once again sends a signal to the
handle processor 7024, which operates the motor 7038 to open the
clamp. Once open, the clamp opened status switch 7050 located in
the end effector sends a signal to the shaft processor 7030, which
communicates the position of the clamp to the handle processor
7024. The clamp position switch 7034 and the fire position switch
7036 provide signals to the handle processor 7024 that indicate the
respective positions of the clamp arm and the cutting member.
FIG. 62 is a table 7060 depicting the total time it takes to
complete a stroke and the load current requirements for various
operations of various device shafts. The first column 7062 from the
left lists circular, contour, and TLC devices/shafts. These
devices/shafts are compared over three different operations
closing, opening, and firing as shown in the second column 7064.
The third column 7066 depicts the total time in seconds required
for the device/shaft listed in the first column 7063 to complete
one stroke. The fourth column 7068 lists the load current
requirements in amperes for the devices/shafts listed in the first
column 7062 to complete the operation in the second column 7064 for
a complete stroke as indicated in the third column 7066. As
indicated in the chart, closing and opening the clamp arm takes
about the same time for each of the device/shafts listed in the
first column 7062. For the firing operation, the circular
device/shaft requires the most load current at 15.69 A and the TLC
device/shaft requires the least amount load current at 0.69 A.
FIG. 63-A is a detail diagram of the electrical system in the
handle portion 7002 of the modular motor driven surgical instrument
7000. As shown in FIG. 63-A, the voltage regulator 7026 and DC-DC
converter 7058 provide the operating voltages for the electrical
system. The voltage regulator 7026 regulates the battery 7040
voltage. The handle processor 7024 receives inputs from the
accelerometer 7020. The VSS-ON/OFF Logic supply 7086 provides the
input voltage to the handle processor 7024 and the VSS input to the
DC-DC converter 7058.
A tri-color LED 7072 is electrically coupled to the handle
processor 7024. The handle processor 7024 energizes either the red,
blue, or green LED 7072 to provide visual feedback.
Three Hall effect sensor 7028 U10, U11, U12 provide three separate
Hall effect outputs U1_Hall1, U1_Hall2, U1_Hall3 which are coupled
to the handle processor 7024 as shown. The U1_Hall3 output drives
an onboard LED 7088. In one aspect, the Hall effect sensor outputs
U1_Hall1, U1_Hall2, U1_Hall3, and the ANALOG_CLAMP signal are
coupled to the handle processor 7024 to determine the position of
the clamp arm and the cutting member at the end effector portion of
the modular motor driven surgical instrument 7000, or the positions
of other elements of the instrument 7000.
The user switch 7070 is a representative example of the previously
described "rocker-trigger" 110 that is pivotally mounted to a
pistol grip portion of the handle. The user switch 7070 is operable
to actuate a first motor switch 7044 that is operably coupled to
the handle processor 7024. The first motor switch 7044 may comprise
a pressure switch which is actuated by pivoting the user switch
7070 into contact therewith. Actuation of the first motor switch
7044 will result in actuation of the motor 7038 such that the drive
gear rotates in a first rotary direction. A second motor switch
7046 is also coupled to the handle processor 7024 and mounted for
selective contact by the user switch 7070. Actuation of the second
motor switch 7046 will result in actuation of the motor 7038 such
that the drive gear is rotated in a second direction. A fire switch
7048 is coupled to handle processor 7024. Actuation of the fire
switch 7048 results in the axial movement of the transmission
carriage to advance the cutting element as was described above.
A Joint Test Action Group (JTAG) 7074 input is also coupled to the
handle processor 7024. The JTAG 7074 input is the IEEE 1149.1
Standard Test Access Port and Boundary-Scan Architecture devised
for integrated circuit (IC) debug ports. The handle processor 7024
implements the JTAG 7074 to perform debugging operations like
single stepping and breakpointing.
A UART 7076 is coupled to the handle processor 7024. The UART 7076
translates data between parallel and serial forms. The UART 7076 is
commonly used in conjunction with communication standards such as
EIA, RS-232, RS-422 or RS-485. The universal designation indicates
that the data format and transmission speeds are configurable. The
electric signaling levels and methods (such as differential
signaling etc.) are handled by a driver circuit external to the
UART 7076. The UART 7076 may be an individual (or part of an)
integrated circuit used for serial communications over the serial
port of the handle processor 1024. The UART 7076 can be included in
the handle processor 1024.
A description of the remaining functional and operational aspects
of the electrical subsystem 7006 of the handle portion 7002 of the
modular motor driven surgical instrument 7000 will now be provided
in connection with FIG. 63-B. As shown, the handle processor 7024
provides a signal to drive the solenoid 7032. A shaft module 7078
provides position signals SHAFT_IDO, SHAFT_ID1, CLAMP_HOME, and
FIRE HOME to the handle processor 7024. A gear position module 7080
provides the position of the clamp and the cutting element to the
handle processor 7024. The positional information provided by the
shaft module 7078 and the gear position module 7080 enable the
handle processor 7024 to properly activate the motor 7038 when the
user switch 7070 signals are received to open the clamp, close the
clamp, and/or fire the cutting element.
The motor controller 7022 receives commands from the handle
processor 7024 and provides commands to the MOSFET driver 7084,
which drives the 3-phase BLDC motor 7038 (FIG. 61). As previously
described, the BLDC motor controller 7022 must direct the rotation
of the rotor. Accordingly, the BLDC motor controller/driver 7022
determines the position/orientation of the rotor relative to the
stator coils. Accordingly, the rotor part of the BLDC motor 7038 is
configured with Hall effect sensors 7028 to directly measure the
position of the rotor. The BLDC motor controller 7022 contains 3
bi-directional outputs (i.e., frequency controlled three phase
output), which are controlled by a logic circuit.
Accordingly, as described in FIGS. 61, 63-A, 63-B, and 64 a motor
control system comprising the motor controller 7022, the motor
driver 7084, the motor Hall effect sensors 7028 in combination with
the gear position module 7080 and/or the shaft module 7078 is
operable to synchronize the gears such that the male couplers in
the handle portion smoothly couple with the female couplers in the
shaft portion of the surgical instruments described herein. In one
instance, for example, although some tolerances may be provided for
ease of shifting or keying, the motor control system is configured
to track the position of the gears to ensure that the gears do not
stop in a position that would prohibit shifting from one to the
other or installing the two rotary keyings. In another instance,
the motor may be configured to be slowly indexed during
installation or shifting to resolve any minor out of
synchronization conditions. These same issues may be encountered
with the example described in connection with FIG. 6 when the
instrument shifts between two drives and not just when installing
new end-effectors. This situation may be resolved by proper
synchronization of the gears employing the motor control system
described in connection with FIGS. 61, 63-A, 63-B, and 64. In other
instances, encoders may be provided to track the rotations of the
gears/gear shafts.
FIG. 64 is block diagram of the electrical system of the handle and
shaft portions of the modular motor driven surgical instrument. As
shown in FIG. 64, the handle processor 7024 receives inputs from
the open switch 7044, close switch 7046, fire switch 7048, clamp
position switch 7034, and fire position switch 7036. In addition,
the handle processor 7024 receives inputs from a clamp home switch
7090 and a fire home switch 7092 from the shaft module 7078. Using
various combinations of these switch inputs, the handle processor
7024 provides the proper commands to the motor 7038 and the
solenoid 7032. A battery monitoring circuit 7088 monitors the power
input to the handle processor 7024 relative to ground. The handle
processor 7024 drives the tri-color LED 7072. The accelerometer
7020 provides three-axis orientation inputs to the handle processor
7024 to determine various parameters such as orientation of the
instrument 7000 and whether the instrument 7000 has been dropped.
The voltage regulator 7026 provides the regulated power supply for
the system. A current sensing module 7094 is provided to sense the
current drawn from the power supply.
FIG. 65 illustrates a mechanical switching motion control system
7095 to eliminate microprocessor control of motor functions. In the
system described in connection with FIGS. 61-64, a microprocessor
such as the handle processor 7024 is employed to control the
function of the motor 7038. The handle processor 7024 executes a
control algorithm based on the various states of the switches
deployed throughout the instrument 7000. This requires the use of
the handle processor 7024 and associated identification functions
to provide control for different end effectors.
As shown in FIG. 65, however, an alternative technique may be
employed to control the motor 7038 that eliminates the need for the
handle processor 7024 by placing motion related switched 7096A,
7096B, 7096C, 7096D in the end effector shaft. The switches 7096A-D
are then configured to turn on and off specific functions of the
motor 7038 or to reverse the direction of the motor 7038 based on
where specific end effector components are positioned. In one
instance, a switch that indicates full deployment of the cutting
member could be employed to switch the functions of the motor 7038
to reverse direction and withdraw the cutting member. In another
instance, the switches 7096A-D could be configured to detect
pressure or force such that a simple closure of the anvil down on
the tissue would provide an on/off signal back to the closure motor
7038 to stop the closure motion.
In various instances, a surgical instrument can include a handle,
an electric motor positioned within the handle, a shaft attachable
to the handle, and an end effector extending from the shaft,
wherein the electric motor is configured to motivate an end
effector function at the end effector. In some instances, the
surgical instrument can include a control system comprising one or
more sensors and a microprocessor which can receive input signals
from the sensors, monitor the operation of the surgical instrument,
and operate the electric motor to perform the end effector function
in view of the sensor input signals. In at least one such instance,
the handle of the surgical instrument can be usable with more than
one shaft. For instance, a linear stapling shaft or a circular
stapling shaft could be assembled to the handle. The handle can
include at least one sensor configured to detect the type of shaft
that has been assembled thereto and communicate this information to
the microprocessor. The microprocessor may operate the electric
motor differently in response to the sensor input signals depending
on the type of the shaft that has been assembled to the handle. For
instance, if the electric motor is configured to operate a closing
system of the end effector, the microprocessor will rotate the
electric motor in a first direction to close an anvil of the
circular stapler shaft and a second, or opposite, direction to
close an anvil of the linear stapler shaft. Other control systems
are envisioned in which the same operational control of the
electric motor can be achieved without the use of a microprocessor.
In at least one such instance, the shafts and/or the handle of the
surgical instrument can include switches which can operate the
surgical instrument differently depending on the type of the shaft
that has been assembled to the handle.
In various instances, a surgical instrument system can include a
power source, a first motor configured to perform a first end
effector function, a second motor configured to perform a second
end effector function, and a control system of switches configured
to selectively place the power source in communication with the
first motor and the second motor in response to the control system
of switches. In various instances, such a surgical instrument
system may not include a microprocessor. The first motor can
comprise a closing motor of a closing system configured to close an
anvil of the end effector and the second motor can comprise a
firing motor of a firing system configured to fire staples from a
staple cartridge of the end effector. The control system of
switches can include a closure trigger switch which, when closed,
can close a closure power circuit which couples the power source to
the closing motor. The control system can further include a closure
end-of-stroke switch which can be opened by the closure system when
the anvil is in a fully closed position and open the closure power
circuit to stop the closing motor and the closure drive. The
control system of switches can also include a firing trigger switch
which can be part of a firing power circuit which couples the power
source to the firing motor. In various circumstances, the default
condition of the firing power circuit can be open which can prevent
the firing motor from being operated prior to firing power circuit
being closed. Thus, closing the firing switch alone may not close
the firing power circuit and operate the firing motor. The firing
power circuit can further include a second closure end-of-stroke
switch which can be closed by the closure system when the anvil is
in a fully closed position. Closing the firing switch and the
second closure end-of-stroke switch may close the firing power
circuit and operate the firing motor. The control system can
further include a firing end-of-stroke switch can be opened by the
firing drive when the firing drive reaches the end of its firing
stroke. The opening of the firing end-of-stroke switch can open the
firing power circuit and stop the firing motor. The control system
can further include a second firing end-of-stroke switch witch can
be closed by the firing drive to close a reverse firing power
circuit which reverses the polarity of the power applied to the
firing motor and operates the firing motor in an opposite direction
and retracts the firing drive. Closing the reverse firing power
circuit may also require the firing trigger switch to be in a
closed condition. When the firing drive reaches its fully-retracted
position, it can close a proximal firing switch. The closure of the
proximal firing switch can close a reverse closing power circuit
which can reverse the polarity of the power applied to the closing
motor and operate the closing motor in an opposite direction and
open the anvil. Closing the reverse closure power circuit may also
require the closure trigger switch to be in a closed condition.
When the anvil reaches its fully-open position, the anvil can open
a proximal closure switch which can open the reverse closing power
circuit and stop the closing motor. This is but one example.
In various instances, as described herein, a handle of a surgical
instrument can be used with several different shaft assemblies
which can be selectively attached to the handle. In some instances,
as also described herein, the handle can be configured to detect
the type of shaft that has been assembled to the handle and operate
the handle in accordance with a control system contained within the
handle. For instance, a handle can include a microprocessor and at
least one memory unit which can store and execute a plurality of
operating programs, each of which are configured to operate a
specific shaft assembly. Other embodiments are envisioned in which
the handle does not include a control system; rather, the shaft
assemblies can each comprise their own control system. For
instance, a first shaft assembly can comprise a first control
system and a second shaft assembly can comprise a second control
system, and so forth. In various instances, the handle may comprise
an electrical motor, a power source, such as a battery and/or an
input cable, for example, and an electrical circuit configured to
operate the electrical motor based on control inputs from the
attached shaft assembly. The handle may further comprise an
actuator which, in conjunction with the shaft control system, may
control the electrical motor. In various instances, the handle may
not comprise additional control logic and/or a microprocessor, for
example, for controlling the electrical motor. With the exception
of the handle actuator, the control system of the shaft assembly
attached to the handle would include the control logic needed to
operate the electrical motor. In various instances, the control
system of the shaft assembly may include a microprocessor while, in
other instances, it may not. In some instances, the first control
system of a first shaft assembly can include a first microprocessor
and the second control system of a second shaft assembly can
include a second microprocessor, and so forth. In various
instances, a handle can include a first electrical motor, such as a
closing motor, for example, and a second electrical motor, such as
a firing motor, for example, wherein the control system of the
attached shaft assembly can operate the closing motor and the
firing motor. In certain instances, the handle can comprise a
closing actuator and a firing actuator. With the exception of the
closing actuator and the firing actuator, the control system of the
shaft assembly attached to the handle would include the control
logic needed to operate the closing motor and the firing motor. In
various instances, a handle can include a shaft interface and each
shaft assembly can include a handle interface configured to engage
the shaft interface. The shaft interface can include an electrical
connector configured to engage an electrical connector of the
handle interface when a shaft assembly is assembled to the handle.
In at least one instance, each connector may comprise only one
electrical contact which are mated together such that only one
control path is present between the handle and the shaft assembly.
In other instances, each connector may comprise only two electrical
contacts which form two mated pairs when the shaft assembly is
attached to the handle. In such instances, only two control paths
may be present between the handle and the shaft assembly. Other
embodiments are envisioned in which more than two control paths are
present between the handle and the shaft assembly.
In various instances, surgical end effector attachments can be
compatible with a surgical instrument handle. For example, a
surgical end effector can be coupled to the handle of a surgical
instrument and can deliver and/or implement a drive motion that was
initiated in the handle of the surgical instrument. Referring to
FIGS. 73 and 74, the surgical end effector 8010 can be one of the
several surgical end effectors that can be compatible with the
handle 8000 of a surgical instrument. Various different surgical
end effectors are described throughout the present disclosure and
are depicted throughout the associated figures. The reader will
appreciate that these various, different surgical end effectors
described and depicted herein may be compatible with the same
surgical instrument handle and/or can be compatible with more than
one type of surgical instrument handle, for example.
The handle 8000 can include drive systems, for example, which can
be configured to transfer a drive motion from the handle 8000 of
the surgical instrument to a component, assembly and/or system of
the end effector 8010. For example, the handle 8000 can include a
first drive system 8002a and a second drive system 8004a. In
certain instances, one of the drive systems 8002a, 8004a can be
configured to deliver a closing drive motion to the jaw assembly of
the end effector 8010 (FIG. 73), for example, and one of the drive
systems 8002a, 8004a can be configured to deliver a firing drive
motion to a firing element in the end effector 8010, for example.
The drive systems 8002a, 8004a can be configured to transfer a
linear motion, displacement, and/or translation from the handle
8000 to the end effector 8010. In various instances, the first
drive system 8002a can include a drive bar 8006, which can be
configured to translate and/or be linearly displaced upon
activation of the first drive system 8002a. Similarly, the second
drive system 8004a can include a drive bar 8008, which can be
configured to translate and/or be linearly displaced upon
activation of the second drive system 8004a.
In various instances, the end effector assembly 8010 can include a
first drive system 8002b, which can correspond to the first drive
system 8002a of the handle 8000, for example, and can also include
a second drive system 8004b, which can correspond to the second
drive system 8004a of the handle 8000, for example. In various
instances, the first drive system 8002b in the end effector 8010
can include a drive element 8012, which can be operably and
releasably coupled to the drive bar 8006 of the first drive system
8002a of the handle 8000, for example, and can be configured to
receive a linear motion from the drive bar 8006, for example.
Additionally, the second drive system 8004b of the end effector
8010 can include a drive element 8014, which can be operably and
releasably coupled to the drive bar 8008 of the second drive system
8004a of the handle 8000, for example, and can be configured to
receive a linear motion from the drive bar 8008, for example.
In various instances, the handle 8000 and/or the end effector 8010
can include a coupling arrangement, which can be configured to
releasably couple the drive bar 8006 to the drive element 8012, for
example, and/or the drive bar 8008 to the drive element 8014, for
example. In other words, the coupling arrangement can couple the
first drive system 8002a of the handle 8000 to the first drive
system 8002b of the end effector 8010 and the second drive system
8004a of the handle 8000 to the second drive system 8004b of the
end effector 8010 such that a drive force initiated in the handle
8000 of the surgical instrument can be transferred to the
appropriate drive system 8002b, 8004b of the attached surgical end
effector 8010. Though the surgical system depicted in FIGS. 73 and
74 includes a pair of drive systems 8002a, 8004a in the handle 8000
and a corresponding pair of drive system 8002b, 8004b in the end
effector 8010, the reader will appreciate that the various coupling
arrangements disclosed herein can also be used in a surgical end
effector and/or handle comprising a single drive system or more
than two drive systems, for example.
In various instances, a coupling arrangement for coupling a drive
system in the handle of a surgical instrument to a drive system in
an attached end effector can include a latch, which can be
configured to retain and secure the connection between the
corresponding handle and end effector drive systems. As described
in greater detail herein, the latch can be spring-loaded, and can
be coupled to a trigger, for example, which can be configured to
operably overcome the bias of a spring to unlock, open, and/or
release the coupling arrangement, for example. In various
instances, the coupling arrangement can include independent and/or
discrete coupling mechanisms and/or joints for each drive system
8002b, 8004b in the surgical end effector 8010. In such instances,
one of the drive systems 8002b, 8004b can be activated without
activating the other drive system 8002b, 8004b. In other instances,
the drive systems 8002b, 8004b can be activated simultaneously
and/or concurrently, for example.
Referring now to FIGS. 66-72, a coupling arrangement 8100 for use
with a surgical end effector is depicted. For example, a surgical
end effector can be attached to a handle 8170 (FIGS. 67-69) of a
surgical instrument via the coupling arrangement 8100, for example.
In various instances, the coupling arrangement 8100 can include a
coupler housing or frame 8102, for example. The coupler housing
8102 can be positioned within a proximal attachment portion of the
end effector, for example. Additionally, the coupler housing 8102
can include a carriage 8104, for example, which can be configured
to move relative to the coupler housing 8102, for example. For
example, the coupler housing 8102 can include a channel 8103, which
can be dimensioned and structured to receive the slidable and/or
shiftable carriage 8104. For example, the carriage 8104 can be
restrained by the coupler housing 8102, such that the carriage 8104
is movably held in the channel 8103 and is configured to move
and/or slide within the channel 8103. The channel 8103 can guide
and/or restrain movement of the carriage 8014 relative to the
housing 8102, for example. In certain instances, the carriage 8104
can have a ramped surface, such as a ramp or wedge 8106, for
example, which can further guide and/or facilitate movement of the
carriage 8104, for example.
In various instances, the coupling arrangement 8100 can include a
trigger 8120 in sliding engagement with the ramp 8106 of the
carriage 8104. For example, the trigger 8120 can include an
inclined surface 8122 that is configured to slide along the ramp
8106 of the carriage 8104 when the trigger 8120 is moved between a
first, or unactuated, position (FIG. 68) and a second, or actuated,
position (FIGS. 67 and 69), for example. In certain instances, the
coupling arrangement 8100 can include a guide, such as guide rails
8110, for example, which can be positioned and structured to guide
the trigger 8120 between the first, unactuated position and the
second, actuated position, for example. For example, the coupler
housing 8102 can include a pair of guide rails 8110, which can
define an actuation path for the trigger 8120.
In various instances, when the trigger 8120 is moved along the
actuation path defined by at least one guide rail 8110 in a
direction D.sub.1 (FIGS. 67 and 69) from the unactuated position
(FIG. 68) to the actuated position (FIGS. 67 and 69), for example,
the carriage 8104 can be shifted downward or in a direction D.sub.3
(FIGS. 67 and 69) within the channel 8103 via the inclined surface
8122 of the trigger 8120 and the ramp 8106 of the carriage 8104.
Accordingly, activation of the trigger 8120 can shift the carriage
8104 relative to the coupler housing 8102, trigger 8120 and/or
various other components, assemblies, and/or systems of the
coupling arrangement 8100, for example.
In various instances, when the trigger 8120 is moved along at least
one guide rail 8110 in a direction D.sub.2 (FIG. 68) from the
actuated position (FIGS. 67 and 69) to the unactuated position
(FIG. 68), for example, the carriage 8104 can be shifted upward or
in a direction D.sub.4 (FIG. 68) within the channel 8103 via the
inclined surface 8122 of the trigger 8120 and the ramp 8106 of the
carriage 8104. Accordingly, actuation of the trigger 8120 can
affect movement of the carriage 8104 relative to the coupler
housing 8102, for example. In certain instances, a spring and/or
other biasing mechanism can be configured to bias the carriage 8104
and/or the trigger 8120 toward a predefined position relative to
the channel 8103 and/or the coupler housing 8102, for example.
Referring now to FIG. 66, in various instances, a slot 8112 can be
defined in the coupler housing 8102 and/or the end effector. The
slot 8112 can be dimensioned to receive a drive member 8172 of the
handle 8170 of a surgical instrument, for example. In certain
instances, a pair of slots 8112 can be defined in the coupler
housing 8102, and each slot 8112 can be configured to receive one
of the drive members 8172 of the handle 8170, for example. As
described in greater detail herein, the drive members 8172 can be
coupled to and/or otherwise driven by a drive system in the handle
8170. For example, each drive member 8172 can be coupled to and/or
otherwise driven by a linear actuator of a drive system in the
handle 8170, which can be configured to translate and deliver a
linear drive motion to the corresponding drive system in the end
effector, for example.
In various instances, the carriage 8104 can also be configured to
move and/or shift relative to a drive member socket 8130 of the
coupling arrangement 8100. The drive member socket 8130 can be
configured to receive one of the drive members 8172 from the handle
8170, for example. Referring primarily to FIG. 71, the socket 8103
can include an opening 8136, which can be dimensioned and/or
structured to receive a drive system component of the handle 8170.
For example, referring primarily to FIG. 67, the opening 8136 can
be configured to receive a distal portion of the drive bar 8172. In
such instances, when the drive bar 8172 is secured within the
opening 8136 in the socket 8130, as described in greater detail
herein, the socket 8130 can be configured to transfer a drive force
from the handle 8170 to the surgical end effector via the drive bar
8172 and socket 8130 engagement, for example.
Referring still to FIG. 67, the drive bar 8172 can include a bevel
8176 and a groove or divot 8174, for example, which can facilitate
engagement and/or locking of the drive bar 8172 to the socket 8130.
In various instances, the drive member socket 8130 can be secured
and/or fixed within the end effector and/or within the coupler
housing 8102, for example, and the carriage 8104 can be configured
to move and/or shift relative to and/or around the socket 8130 when
the carriage 8104 slides within the channel 8103 in the coupler
housing 8102.
Referring primarily to FIG. 71, the socket 8130 can include at
least one flexible tab 8132a, 8132b. The flexible tab 8132a, 8132b
can be inwardly biased toward the opening 8136 and/or can include
an inwardly-biased tooth, for example. In certain instances, the
flexible tab 8132a, 8132b can include the tooth 8133, for example,
which can be configured to engage the groove 8174 in the drive bar
8172 when the drive bar 8172 is inserted into the opening 8136 in
the socket 8130. For example, the bevel 8176 of the drive bar 8172
can pass by the tooth 8133 within the socket opening 8136, and can
flex or deflect the tab 8132 outward from the opening 8136. As the
drive bar 8172 continues to enter the opening 8136 of the socket
8130, the tooth 8136 of the tab 8132a, 8132b can engage or catch
the groove 8174 in the drive bar 8172. In such instances, the tooth
8136-groove 8174 engagement can releasably hold the drive bar 8172
within the socket 8130, for example.
In various instances, the socket 8130 can include a recess 8134,
which can be configured to receive a spring 8150, for example. In
other instances, the socket 8136 can include more than one recess
8134, and the coupling arrangement 8100 can include more than one
spring 8150, for example. Moreover, in certain instances, the
socket 8130 can include more than one flexible tab 8132a, 8132b.
For example, the socket 8130 can include a pair of
laterally-positioned tabs 8132a, 8132b. A first tab 8132a can be
positioned on a first lateral side of the socket 8130, for example,
and a second tab 8132b can be positioned on a second lateral side
of the socket 8130, for example. In certain instances, the tabs
8132a, 8132b can be deflected outward from the opening 8136 to
accommodate entry of the drive bar 8172, for example. In other
instances, the socket 8130 may not include an inwardly-biased tab
and/or can include more than two tabs, for example.
In various instances, the coupling arrangement 8100 can also
include a latch or sleeve 8140, which can be movably positioned
relative to the socket 8130. For example, the latch 8140 can
include an opening 8142 (FIG. 72), which can be dimensioned and
structured to at least partially surround at least a portion of the
socket 8130. For example, the latch 8140 can be positioned around
the socket 8130, and can be movably positioned relative to the tabs
8132a, 8132b of the socket 8130, for example. In various instances,
the spring 8150 can be positioned between a portion of the socket
8130 and a portion of the latch 8140, for example, such that the
spring 8150 can bias the latch 8140 toward a socket-latching
position (FIG. 68). For example, the spring 8150 can bias the latch
8140 into the socket-latching position (FIG. 68) in which the latch
8140 is positioned to surround and/or restrain outward deflection
of the tab(s) 8132a, 8132b.
In various instances, when the latch 8140 is positioned to limit
and/or prevent outward deflection of the tab(s) 8132a, 8132b, i.e.,
in the socket-latching position, outward movement of the tab(s)
8132a, 8132b away from the opening 8136 can be limited, such that
the tab(s) 8132a, 8132b can block and/or otherwise prevent entry
and/or release of the drive bar 8172 relative to the opening 8136
in the socket 8130, for example. Moreover, when the trigger 8120
moves from the unactuated position (FIG. 68) to the actuated
position (FIGS. 67 and 69), the latch 8140 can overcome the bias of
the spring(s) 8150, for example, and can be moved from the
socket-latching position (FIG. 68) to an unlatched position (FIGS.
67 and 69). When in the unlatched position, the latch 8140 can be
shifted away from the flexible tab(s) 8132a, 8132b, such that the
flexible tab(s) 8132a, 8132b can be deflected outward, for example,
and the socket 8130 can receive the drive bar 8172, for
example.
In various instances, the latch 8140 can comprise a nub or
protrusion 8144. Furthermore, referring primarily to FIG. 70, the
carriage 8104 in the coupler housing 8102 can include a biasing
member 8108. The biasing member 8108 can include a ramp or angled
surface, for example, which can be configured to bias the nub 8144,
and thus the latch 8140, between the first or socket-latching
position (FIGS. 67 and 69) and the second, or latched, position
(FIG. 68), for example. For example, when movement of the trigger
8120 causes the carriage 8104 to shift relative to the coupler
housing 8102 and the socket 8130, as described herein, the nub 8144
can slide along the angled surface of the biasing member 8108, such
that the latch 8140 moves relative to the flexible tab 8132 of the
socket 8130. In such instances, the activation of the trigger 8120
can overcome the bias of the spring 8150 and retract the latch 8140
from the socket-latching position around the flexible tab(s) 8132
of the socket 8130 to the unlatched position. In such instances,
when the latch 8140 is retracted, the flexible tab(s) 8132 can be
permitted to deflect and/or engage a driving bar 8172. Moreover,
when the trigger is unactuated, the spring 8150 can bias the latch
8140 relative to and/or around the flexible tab(s) 8132a, 8132b,
such that deflection of the tab(s) 8132a, 8132b, and thus
engagement with a drive bar 8172, is limited and/or prevented, for
example.
In certain instances, the latch 8140 can include a pair of
laterally-opposed nubs 8144, which can slidably engage
laterally-opposed biasing members 8108 of the carriage 8104.
Furthermore, in instances where the coupling arrangement 8100
couples more than one drive system between the handle 8170 and the
surgical end effector, for example, the carriage 8104 can include
multiple biasing members 8108, and/or multiple pairs of biasing
members 8108. For example, each socket 8130 can include a pair of
laterally positioned nubs 8144, and the carriage 8104 can include a
biasing member 8108 for each nub 8144, for example.
Referring primarily to FIG. 68, prior to activation of the trigger
8120 and/or upon release of the trigger 8120, the trigger 8120 can
be positioned in the distal, unactuated position, the carriage 8104
can be positioned in the lifted position relative to the coupler
housing 8102, and the latch 8140 can be positioned in the
socket-latching position. In such an arrangement, the latch 8140
can prevent entry and/or engagement of the drive bar 8172 with the
socket 8130, for example. In various instances, spring(s) 8150
and/or a different spring and/or biasing member can bias the
trigger 8120 into the unactuated position, the carriage 8104 into
the lifted position, and/or the latch 8140 into the socket-latching
position, for example. To connect and/or attach one of the drive
bars 8172 to one of the sockets 8130, referring now to FIG. 67, the
trigger 8120 can be moved to the proximal, actuated position, which
can shift the carriage 8104 to the lowered position, which can
shift the latch 8140 to the unlatched position, for example. In
such an arrangement, a drive bar 8172 can be configured to enter
and/or be received by the socket 8130, for example.
Thereafter, if the trigger 8120 is released, referring now to FIG.
68, for example, the spring(s) 8150 can bias the trigger 8120 back
to the distal, unactuated position, can bias the carriage 8104 back
to the lifted position, and can bias the latch 8140 back to a
socket-latching position. Accordingly, the drive member 8172 can be
locked into engagement with the socket 8130 because the latch 8140
can prevent outward deflection of the flexible tabs 8132a, 8132b,
and thus, can secure the drive member 8172 within the socket 8130,
for example. Accordingly, referring now to FIG. 69, to decouple the
drive member 8172 from the socket 8130, the trigger 8120 can again
be moved to the proximal, actuated position, which can shift the
carriage 8104 to the lowered position, which can shift the latch
8140 to the unlatched position, for example. In such an
arrangement, i.e., when the socket 8130 is unlatched, the drive
member 8172 can be removed from the socket 8130, for example.
In various instances, a surgical instrument can include a drive
system coupled to a motor. In certain instances, the motor and the
drive system can affect various surgical functions. For example,
the motor and the drive system can affect opening and/or closing of
a surgical end effector, and can affect a cutting and/or firing
stroke, for example. In certain instances, the motor and drive
system can affect multiple distinct surgical functions. For
example, opening and closing of the surgical end effector can be
separate and distinct from cutting and/or firing of fasteners from
the surgical end effector. In such instances, the drive system can
include a transmission and/or clutch assembly, which can shift
engagement of the drive system between different output systems,
for example.
In various instances, a surgical instrument can include a drive
system having multiple output shafts, and a clutch for shifting
between the different output shafts. In certain instances, the
output shafts can correspond to different surgical functions. For
example, a first output shaft can correspond to an end effector
closure motion, and a second output shaft can correspond to an end
effector firing motion, for example. In various instances, the
drive system can switch between engagement with the first output
shaft and the second output shaft, for example, such that the
surgical functions are separate and distinct and/or independent.
For example, an end effector closure motion can be separate and
distinct from an end effector firing motion. For example, it may be
preferable to initiate a closure motion and, upon completion of the
closure motion, initiate a separate firing motion. Moreover, it may
be preferable to control and/or drive the independent closure
motion and firing motion with a single drive system, which can be
coupled to an electric motor, for example. In other instances, the
first output shaft and the second output shaft can be operably
coupled and the various surgical functions and/or surgical motions
can occur simultaneously and/or at least partially simultaneously,
for example.
Referring now to FIGS. 75-78, a handle 8600 for a surgical
instrument can include a drive system 8602, which can include a
first output drive system 8610 and a second output drive system
8620, for example. In various instances, when an end effector is
attached to the handle 8600, the first output drive system 8610 can
be coupled to a first drive system in the attached end effector,
and the second output drive system 8620 can be coupled to a second
drive system in the attached end effector. The first output drive
system 8610 can affect a first surgical function, such as clamping
of the end effector jaws, for example, and the second output drive
system 8620 can affect a second surgical function, such as firing
of a firing element through the end effector, for example. In other
instances, the surgical functions with respect to the first output
drive system 8610 and the second output drive system 8620 can be
reversed and/or otherwise modified, for example.
In various instances, the drive system 8602 can include a motor
assembly, which can include an electric motor 8640 and a motor
shaft 8642. A drive gear 8644 can be mounted to the motor shaft
8642, for example, such that the electric motor 8640 drives and/or
affects rotation of the drive gear 8644. In various instances, the
first output drive system 8610 can include a first drive shaft 8612
and a first driven gear 8612. The first driven gear 8614 can be
mounted to the first drive shaft 8612, for example, such that the
rotation of the first driven gear 8614 affects the rotation of the
first drive shaft 8612. In various instances, a linear actuator
8616 can be threadably positioned on the first drive shaft 8612,
and rotation of the first drive shaft 8612 can affect linear
displacement of the linear actuator 8616, for example. Moreover, in
various instances, the second output drive system 8620 can include
a second drive shaft 8622 and a second driven gear 8624. The second
driven gear 8624 can be mounted to the second drive shaft 8622, for
example, such that the rotation of the second driven gear 8624
affects the rotation of the second drive shaft 8622. In various
instances, a linear actuator 8626 can be threadably positioned on
the second drive shaft 8624, and rotation of the second drive shaft
8624 can affect linear displacement of the linear actuator 8626,
for example.
In various instances, the drive system 8602 can further comprise a
transmission or shifter assembly 8648. The shifter assembly 8648
can be configured to shift engagement of the drive gear 8644
between the first output drive system 8610 and the second output
drive system 8620, for example. For certain instances, the shifter
assembly 8648 can include a shifting gear 8652, which can be in
meshing engagement with the drive gear 8644, for example.
Additionally, the shifting gear 8652 can be configured to shift or
move between a range of positions, for example, and can remain in
meshing engagement with the drive gear 8644 as the shifting gear
8652 moves within the range of positions.
For example, the shifting gear 8652 can move into and/or out of
engagement with at least one of the first driven gear 8614 and/or
the second driven gear 8624. In various instances, the shifting
gear 8652 can move into meshing engagement with the second driven
gear 8624 of the second output drive system 8620. For example, when
in a first position (FIG. 78) of the range of positions, the
shifting gear 8652 can be disengaged from the second driven gear
8624, and when in a second position (FIG. 77) of the range of
positions, the shifting gear 8652 can be engaged with the second
driven gear 8624, for example. In instances when the shifting gear
8652 is engaged with the second driven gear 8624, the shifting gear
8652 can transfer a force from drive gear 8644 to the second driven
gear 8624, such that the motor 8640 can affect a surgical function
via the second output drive system 8620, for example. Moreover, in
instances when the shifting gear 8652 is disengaged from the second
driven gear 8624, rotation of the motor 8640 may not be transferred
to the second output drive system 8620, for example.
In various instances, the shifter assembly 8648 can further
comprise an intermediate and/or transfer gear 8654. The transfer
gear 8642 can be configured to transfer a drive force from the
shifting gear 8652 to the first driven gear 8614, for example. In
various instances, the transfer gear 8654 can be in meshing
engagement with the first drive gear 8614, for example, such that
the rotation of the transfer gear 8654 is transferred to the first
driven gear 8614, for example. Moreover, in various instances the
shifting gear 8652 can move into and/or out of engagement with the
transfer gear 8654. For example, when in the first position (FIG.
78) of the range of positions, the shifting gear 8652 can be
engaged with the transfer gear 8654, and when in the second
position (FIG. 77) of the range of positions, the shifting gear
8652 can be disengaged from the transfer gear 8654, for example. In
instances when the shifting gear 8652 is engaged with the transfer
gear 8654, the shifting gear 8652 can transfer a force from the
drive gear 8644 to the first driven gear 8614 via the transfer gear
8654. In such instances, the motor 8640 can affect a surgical
function via the first output drive system 8610, for example.
Moreover, in instances when the shifting gear 8652 is disengaged
from the transfer gear 8654, rotation of the motor 8640 may not be
transferred to the first output drive system 8610, for example.
In various instances, the transfer gear 8654 can be rotatably
mounted on the second drive shaft 8622 of the second output drive
system 8620. For example, the transfer gear 8654 can be configured
to rotate relative to the second drive shaft 8622 without affecting
rotation of the second drive shaft 8622 and the second driven gear
8624 fixed thereto. In various instances, the shifter assembly 8648
can include a bracket or collar 8650, which can at least partially
surround the shifting gear 8652. The bracket 8650 can be positioned
around the shifting gear 8652, for example, such that movement of
the bracket 8650 can move the shifting gear 8652.
In various instances, the handle 8600 and/or the shifting assembly
8648 can further include a trigger or clutch 8630. The clutch 8630
can be configured to shift the bracket 8650 and/or the shifting
gear 8652 within the range of positions. For example, clutch 8630
can comprise a trigger extending from the handle 8600, and can be
engaged with the bracket 8650 and/or the shifting gear 8652. In
various instances, the bracket 8650 can include a pin 8656, which
can extend from the bracket 8640 into an aperture 8638 (FIG. 75) in
the clutch 8630. For example, the clutch 8630 can include an arm
8632 and/or a pair of arms 8632 coupled to a pivot point 8634 on
the handle 8600. The clutch 8630 can pivot at the pivot point 8634,
for example, and pivoting of the arm(s) 8632 can move the pin 8656
of the bracket 8560. Movement of the bracket 8650 can shift the
shifting gear 8652 between the first position (FIG. 78) and the
second position (FIG. 77), for example.
In various instances, the movement of the bracket 8650 can be
constrained such that the shifting gear 8652 moves along a
longitudinal axis through its range of positions. Moreover, the
pivoting stroke and/or range of movement of the clutch 8630 can be
restrained and/or limited, for example, such that the shifting gear
8652 remains within the range of positions as the clutch 8630
pivots. Furthermore, the aperture 8638 (FIG. 75) in the clutch 8630
can be configured and/or structured to maintain and/or hold the
shifting gear 8652 within the range of positions and/or in
alignment with one of the second driven gear 8624 and/or the
transfer gear 8654, for example. In various instances, the handle
8600 can include a spring or other biasing mechanism, to bias the
shifting gear 8652 into one of the first position or the second
position. In some instances, the handle 8600 can include a bistable
complaint mechanism configured to hold the shifting gear 8652 in
its first position or its second position. To the extent that the
shifting gear 8652 is between the first position and the second
position, the bistable compliant mechanism can be dynamically
unstable and act to place the shifting gear 8652 in its first
position or its second position. Alternatively, the shifting gear
8652 can be biased into an intermediate position, wherein the
shifting gear 8652 can be simultaneously engaged with the first
output drive system 8610 and the second output drive system 8620,
for example. Additionally or alternatively, the handle 8600 can
include a lock and/or detent for holding the shifting gear 8652 in
one of the first position or the second position, for example.
A surgical instrument can include a rotatable drive shaft
configured to operate a closure drive and a firing drive of a
surgical instrument. Referring to FIGS. 79-84, a surgical
instrument 10000 can include a rotatable drive shaft 10020, a
closure drive 10030, and a firing drive 10040. As will be described
in greater detail below, the drive shaft 10020 can include a first
thread 10024 configured to operate the closure drive 10030 and a
second thread 10026 configured to operate the firing drive 10040.
In various instances, the instrument 10000 can comprise a circular
stapler, for example.
The surgical instrument 10000 can comprise a frame 10002 and means
for generating a rotary motion. In certain instances, rotary motion
can be created by a manually-driven hand crank, for example, while,
in various instances, rotary motion can be created by an electric
motor. In either event, the generated rotary motion can be
transmitted to a rotary input shaft 10010. Input shaft 10010 can
include a proximal bearing portion 10011 and a distal bearing
portion 10013 which are rotatably supported by the frame 10002. In
various instances, the proximal bearing portion 10011 and/or the
distal bearing portion 10013 can be directly supported by the frame
10002 while, in certain instances, the proximal bearing portion
10011 and/or the distal bearing portion 10013 can include a bearing
positioned between the input shaft 10010 and the frame 10002. The
input shaft 10010 can further include a gear 10012 mounted to
and/or keyed to the input shaft 10010 such that, when input shaft
10010 is rotated in direction A (FIG. 79), gear 10012 is also
rotated in direction A. Correspondingly, when input shaft 10010 is
rotated in an opposite direction, i.e., direction A' (FIG. 82), the
gear 10012 is also rotated in direction A'.
Referring primarily to FIGS. 79 and 80, the drive shaft 10020 can
include a proximal end 10021 and a distal end 10023. The proximal
end 10021 and the distal end 10023 can be rotatably supported by
the frame 10002. In various instances, the proximal end 10021
and/or the distal end 10023 can be directly supported by the frame
10002 while, in certain instances, the proximal end 10021 and/or
the distal end 10023 can include a bearing positioned between the
drive shaft 10020 and the frame 10002. A gear 10022 can be mounted
to and/or keyed to the proximal end 10021 of the drive shaft 10020.
The gear 10022 is meshingly engaged with the gear 10012 such that,
when the input shaft 10010 is rotated in direction A, the drive
shaft 10020 is rotated in direction B. Correspondingly, referring
to FIG. 81, when the input shaft 10010 is rotated in direction A',
the drive shaft 10020 is rotated in direction B'.
Referring again to FIG. 79, the closure drive system 10030 can
include a closure pin 10032 engaged with the first thread 10024 of
the drive shaft 10020. The closure drive system 10030 can further
comprise a translatable closure member 10033. The closure pin 10032
is positioned within an aperture defined in the proximal end of the
closure member 10033. The closure pin 10032 can include a first end
positioned within the groove defined by the first thread 10024.
When the drive shaft 10020 is rotated, a sidewall of the groove can
contact the first end of the closure pin 10032 and displace the
closure pin 10032 proximally or distally, depending on the
direction in which the drive shaft 10020 is being rotated. For
example, when the drive shaft 10020 is rotated in direction B (FIG.
79), the closure pin 10032 can be displaced, or translated,
distally as indicated by direction D. Correspondingly, when the
drive shaft 10020 is rotated in direction B' (FIG. 82), the closure
pin 10032 can be displaced, or translated, proximally as indicated
by direction P. The closure pin 10032 can be closely received
within the aperture defined in the closure member 10033 such that
the displacement, or translation, of the closure pin 10032 is
transferred to the closure member 10033. As the reader will
appreciate, the closure pin 10032 and the closure member 10033 are
constrained from rotating relative to the frame 10002 such that the
rotation of the drive shaft 10020 is converted to the translation
of the closure pin 10032 and the closure member 10033.
Referring primarily to FIG. 80, the first thread 10024 extends
along a first length 10025 of the drive shaft 10020. In certain
instances, the first thread 10024 may extend along the entire
length of the drive shaft 10020 while, in other circumstances, the
first thread 10024 may extend along less than the entire length of
the drive shaft 10020. The first thread 10024 can include a
proximal portion adjacent the proximal end 10021 of the drive shaft
10020 and a distal portion adjacent the distal end 10023 of the
drive shaft 10020. When the closure pin 10032 is in the distal
portion of the first thread 10024, as illustrated in FIG. 81, the
closure member 10033 can position an anvil of the surgical
instrument 10000 in an open position. As the drive shaft 10020 is
rotated in direction B', the closure pin 10032 can translate
proximally until the closure pin 10032 reaches the proximal portion
of the first thread 10024, as illustrated in FIG. 82. As the
closure pin 10032 moves proximally, the closure pin 10032 can pull
the closure member 10033 and the anvil proximally. When the closure
pin 10032 reaches the proximal portion of the first thread 10024,
the anvil can be in a fully closed position.
Further to the above, the closure drive 10030 can be operated to
move the anvil of the surgical instrument 10000 into a suitable
position relative to a staple cartridge. In various instances, the
surgical instrument 10000 can include an actuator which can be
operated in a first direction to rotate the input shaft 10010 in
direction A and the drive shaft 10020 in direction B and a second
direction to rotate the input shaft 10010 in direction A' and the
drive shaft 10020 in direction B'. In other instances, the surgical
instrument 10000 can include a first actuator configured to rotate
the input shaft 10010 in direction A and the drive shaft 10020 in
direction B, when operated, and a second actuator configured to
rotate the input shaft 10010 in direction A' and the drive shaft
10020 in direction B', when operated. In either event, an operator
of the surgical instrument 10000 can move the anvil of the surgical
instrument 10000 toward and away from the staple cartridge, as
needed, in order to create a desired gap between the anvil and the
staple cartridge. Such a desired gap may or may not be created when
the anvil is in its fully closed position.
Further to the above, the surgical instrument 10000 can include a
catch configured to receive and releasably hold the drive pin 10032
when the closure system 10030 has reached its fully closed
configuration. Referring primarily to FIGS. 81 and 82, the surgical
instrument 10000 can include a catch bar 10073 comprising a catch
aperture 10077 defined therein. As the drive pin 10032 is advanced
proximally, the drive pin 10032 can become aligned with, and then
at least partially enter, the catch aperture 10077. The catch pin
10032 can be biased toward the catch bar 10073 by a spring 10035
positioned intermediate the closure member 10033 and a
circumferential head 10037 extending around the catch pin 10032.
When the catch pin 10032 is positioned distally with respect to the
catch aperture 10077, the spring 10035 can bias the drive pin 10032
against the catch bar 10073. When the catch pin 10032 is moved
proximally by the rotation of the drive screw 10020 and becomes
aligned with the catch aperture 10077, the spring 10035 can move
the drive pin 10032 upwardly into the catch aperture 10077. The
drive pin 10032 can be moved upwardly by the spring 10035 until the
head of the drive pin 10032 contacts the catch bar 10073. Notably,
the movement of the drive pin 10032 toward the catch aperture 10077
can cause the drive pin 10032 to become operably disengaged from
the first thread 10024. Thus, the closure system 10030 can become
deactivated when the drive pin 10032 reaches the catch aperture
10077 such that subsequent rotation of the drive shaft 10020 does
not move the drive pin 10032, the closure member 10033, and the
anvil operably engaged therewith, at least until the drive pin
10032 is re-engaged with the first thread 10024 as described in
greater detail further below.
As discussed above, the entry of the drive pin 10032 into the catch
aperture 10077 of the catch bar 10073 can demarcate the end of the
closing stroke of the closure system 10030 and the fully closed
position of the anvil. In various instances, the catch bar 10073
may not be movable relative to the frame 10002 and the catch
aperture 10077 may demarcate a fixed position. In other instances,
the catch bar 10073 may be movable relative to the frame 10002. In
such instances, the final, closed position of the anvil will depend
on the position of the catch aperture 10077. As a result, the gap
between the anvil and the staple cartridge of the surgical
instrument 10000 will depend on the position of the catch aperture
10077. Referring generally to FIG. 79, the surgical instrument
10000 can further comprise a gap setting system 10070 configured to
move the catch bar 10073. The gap setting system 10070 can comprise
a rotatable knob 10072 and a drive gear 10071 engaged with the
rotatable knob 10072. The catch bar 10073 can include a rack 10075
extending therefrom which comprises a plurality of teeth. The drive
gear 10071 is meshingly engaged with the rack 10075 such that, when
the knob 10072 is rotated in a first direction, the rack 10075 can
drive the catch bar 10073 distally and, when the knob 10072 is
rotated in a second direction opposite the first direction, the
rack 10075 can drive the catch bar 10073 proximally. When the catch
bar 10073 is moved distally, the catch aperture 10077 can be
positioned such that a larger gap between the anvil and the staple
cartridge may be present when the closure drive 10030 is in its
fully closed position. When the catch bar 10073 is moved
proximally, the catch aperture 10077 can be positioned such that a
smaller gap between the anvil and the staple cartridge may be
present when the closure drive 10030 is in its fully closed
position. In various instances, the catch aperture 10077 can be
positionable within a range of positions which can accommodate a
range of distances between the anvil and the staple cartridge of
the surgical instrument 10000.
In various instances, the gap setting system 10070 can comprise a
knob lock configured to releasably hold the knob 10072 in position.
For instance, the frame 10002 can include a lock projection 10004
extending therefrom which can be received within one or more lock
apertures 10074 defined in the knob 10072. The lock apertures 10074
can be positioned along a circumferential path. Each lock aperture
10074 can correspond with a preset position of the closure drive
10030 and a preset gap distance between the anvil and the staple
cartridge of the surgical instrument 10000. For instance, when the
lock projection 10004 is positioned in a first lock aperture 10074,
the closure drive 10030 can be held in a first preset position and,
correspondingly, the anvil can be held a first preset distance from
the staple cartridge. In order to move the knob 10072 into a second
preset position, the knob 10072 can be lifted away from the frame
10002 such that lock projection 10004 is no longer positioned in
the first lock aperture 10074, rotated to drive the rack 10075 and
the catch bar 10073, and then moved toward the frame 10002 such
that the lock projection 10004 enters into a second lock aperture
10074 defined in the knob 10072. When the lock projection 10004 is
positioned in the second lock aperture 10074, the closure drive
10030 can be held in a second preset position and, correspondingly,
the anvil can be held a second preset distance from the staple
cartridge which is different than the first preset distance. In
order to move the knob 10072 into a third preset position, the knob
10072 can be lifted away from the frame 10002 such that lock
projection 10004 is no longer positioned in the first or second
lock aperture 10074, rotated to drive the rack 10075 and the catch
bar 10073, and then moved toward the frame 10002 such that the lock
projection 10004 enters into a third lock aperture 10074 defined in
the knob 10072. When the lock projection 10004 is positioned in the
third lock aperture 10074, the closure drive 10030 can be held in a
third preset position and, correspondingly, the anvil can be held a
third preset distance from the staple cartridge which is different
than the first and second preset distances. The gap setting system
10070 can further include a biasing element configured to bias the
knob 10072 toward the frame 10002. For instance, the gap setting
system 10070 can include a spring 10076 positioned intermediate the
housing 10002 and the drive gear 10071, for example, configured to
bias a lock aperture 10074 into engagement with the lock projection
10004.
In certain instances, an operator of the surgical instrument 10000
may be able to discern the position of the closure system 10030 by
observing the position of the anvil. In some instances, however,
the anvil may not be visible in a surgical field. Referring
primarily to FIG. 79, the surgical instrument 10000 can further
comprise an anvil position indicator system 10050 configured to
indicate the position of the anvil. The anvil position indicator
system 10050 can include a window 10058 defined in the frame 10002
and a pivotable member 10051 observable through the window 10058.
The pivotable member 10051 can include a pivot 10052 rotatably
mounted to the frame 10002, a drive end 10054, and a display end
10056. The pivotable member 10051 can be movable between a first
position (FIG. 81) which indicates that the anvil is in a fully
open position, a second position (FIG. 82) which indicates that the
anvil is in a fully closed position, and a range of positions
between the first position and the second position which represent
a range of positions of the anvil. The closure system 10030 can be
configured to contact the drive end 10054 of the pivotable member
10051 to move the pivotable member 10051. When the drive pin 10032
is moved proximally by the drive shaft 10020, referring primarily
to FIG. 82, the drive pin 10032 can pull the closure member 10033
proximally such that a shoulder 10036 defined on the closure member
10033 can contact the drive end 10054 of the pivotable member 10051
and rotate the pivotable member 10051 about the pivot 10052. The
rotation of the pivotable member 10051 can move the display end
10056 within the window 10058 to indicate the position of the
anvil. To facilitate this observation, the frame 10002 and/or the
window 10058 can include one or more demarcations 10059 which can
indicate the position of the anvil. For instance, when the display
end 10056 of the pivotable member 10051 is aligned with a proximal
demarcation 10059 (FIG. 81), the operator can determine that the
anvil is in an open position and, when the display end 10056 is
aligned with a distal demarcation 10059 (FIG. 82), the operator can
determine that the anvil is in a closed position. If the display
end 10056 is positioned intermediate the proximal and distal
demarcations 10059, the operator can assume that the anvil is in a
position between its open position and its closed position.
Additional demarcations 10059 between the proximal and distal
demarcations 10059 can be utilized to indicate additional positions
of the anvil. When the closure member 10033 is moved distally to
open the anvil (FIG. 84), the pivotable member 10051 can rotate
back into its first position and become aligned with the proximal
demarcation 10059 once again. The position indicator system 10050
can further include a biasing member, such as a spring, for
example, configured to bias the pivotable member 10051 into its
first position.
As discussed above, the closure system 10030 of the surgical
instrument 10000 can be operated to position the anvil of the
surgical instrument 10000 relative to the staple cartridge. During
the operation of the closure system 10030, the firing system 10040
may not be operated. The firing system 10040 may not be operably
engaged with the drive shaft 10020 until after the closure drive
10030 has reached its fully closed position. The surgical
instrument 10000 can include a switch, such as switch 10060, for
example, configured to switch the surgical instrument between an
anvil closure operating mode and a staple firing operating mode.
The closure drive 10030 can further comprise a switch pin 10031
extending from the proximal end of the closure member 10033. Upon
comparing FIGS. 81 and 82, the reader will appreciate that the
switch pin 10031 comes into contact with the switch 10060 as the
closure pin 10032 is being advanced proximally to close the anvil.
The switch 10060 can be pivotably mounted to the frame 10002 about
a pivot 10062 and can include one or more arms 10064 extending
therefrom. The switch pin 10031 can contact the arms 10064 and
rotate the switch 10060 about the pivot 10062 when the drive pin
10032 reaches its fully closed position. The switch 10060 can
further comprise an arm 10066 extending therefrom which can be
configured to push a firing nut 10042 of the firing drive 10040
into operative engagement with the drive shaft 10020 when the
switch 10060 is rotated about pivot 10062. More particularly, in at
least one circumstance, the arm 10066 can be configured to displace
a push bar 10044 distally which can, in turn, push the firing nut
10042 onto the second thread 10026. At such point, the drive pin
10032 and the closure system 10030 may be disengaged from the first
thread 10024, as a result of the catch aperture 10077 described
above, and the firing nut 10042 and the firing system 10040 can be
engaged with the second thread 10026.
Further to the above, the firing nut 10042 can comprise a threaded
aperture 10041 defined therein which can be threadably engaged with
the second thread 10026. When the closure drive 10030 is being
operated, further to the above, the firing nut 10042 may be
positioned proximally with respect to the second thread 10026 such
that the threaded aperture 10041 is not threadably engaged with the
second thread 10026. In such circumstances, the firing nut 10042
may sit idle while the drive shaft 10020 is rotated to operate the
closure system 10030. When the firing nut 10042 is displaced
distally, further to the above, the threaded aperture 10041 can
become threadably engaged with the second thread 10026. Once the
firing nut 10042 is threadably engaged with the second thread
10026, rotation of the drive shaft 10020 in direction B' (FIG. 82)
will displace the firing nut 10042 distally. The firing nut 10042
can include one or more anti-rotation features, such as flanges
10043, for example, which can be slidably engaged with the frame
10002 to prevent the firing nut 10042 from rotating with the drive
shaft 10020. The firing drive 10040 can further include a firing
member coupled to the firing nut 10042 which can be pushed distally
by the firing nut 10042. The firing member can be configured to
eject staples from the staple cartridge. When the firing nut 10042
reaches the distal end of the second thread 10026, the firing nut
10042 may become threadably disengaged from the second thread 10026
wherein additional rotation of the drive shaft 10020 in direction
B' may no longer advance the firing nut 10042.
Referring primarily to FIGS. 82 and 83, the surgical instrument
10000 can further comprise a reverse activator 10047 positioned at
the distal end of the second thread 10026. The firing nut 10042 can
be configured to contact the reverse actuator 10047 and displace
the reverse actuator 10047 distally when the firing nut 10042
reaches the distal end of the second thread 10026. A biasing
member, such as spring 10048, for example, can be positioned
intermediate the reverse actuator 10047 and the frame 10002 which
can be configured to resist the distal movement of the reverse
actuator 10047. The distal movement of the reverse actuator 10047
can compress the spring 10048, as illustrated in FIG. 83, and apply
a proximal biasing force to the firing nut 10042. When the drive
shaft 10020 is rotated in direction B, the proximal biasing force
applied to firing nut 10042 can re-engage the threaded aperture
10041 of the firing nut 10042 with the second thread 10026 and the
firing nut 10042 can be moved proximally, as illustrated in FIG.
84. The proximal movement of the firing nut 10042 can move the
firing member proximally. When moving proximally, the firing nut
10042 can displace the push bar 10044 such that the push bar 10044
contacts the arm 10066 of the switch 10060 and rotates the switch
10060 in an opposite direction back into its unswitched position.
At such point, the firing nut 10042 may become threadably
disengaged from the second thread 10026 and further rotation of
drive shaft 10020 in direction B may no longer displace the firing
nut 10042 proximally. At such point, the firing nut 10042 will have
resumed its idle position.
When the switch 10060 is rotated back into its original position,
further to the above, the arms 10064 of the switch 10060 can push
the switch pin 10031 and the closure member 10033 distally. The
distal movement of the switch pin 10031 and the closure member
10033 can displace the drive pin 10032 from the catch aperture
10077 defined in the catch bar 10073. As the drive pin 10032 exits
the catch aperture 10077, the drive pin 10032 can move downwardly
against the biasing force of the spring 10035 in order to slide
under the catch bar 10073. The downward movement of the drive pin
10032 can re-engage the drive pin 10032 with the first thread
10024. Further rotation of the drive shaft 10020 in direction B
will displace the drive pin 10032 and the closure member 10033
distally to open the anvil of the surgical instrument 10000. At
such point, the surgical instrument 10000 will have been reset for
a subsequent use thereof. In various instances, the staple
cartridge can be replaced and/or reloaded and the surgical
instrument 10000 can be used once again.
As the reader will appreciate from the above, the drive screw 10020
can displace the drive pin 10032 to operate the closure drive 10030
and the firing nut 10042 to operate the firing drive 10040. Further
to the above, the drive screw 10020 can displace the drive pin
10032 along a first length 10025 of the drive screw 10020.
Similarly, the drive screw 10020 can displace the firing nut 10042
along a second length 10027 of the drive screw 10020. The first
length 10025 can define a closure stroke of the closure system
10030 and the second length 10027 can define a firing stroke of the
firing stroke 10040. The first length 10025 can be longer than the
second length 10027, although the second length 10027 could be
longer than the first length 10025 in certain circumstances. In
use, the closure pin 10032 can pass by the firing nut 10042. For
instance, when the closure pin 10032 is moved proximally to close
the anvil, the closure pin 10032 can pass by the firing nut 10042
when the firing nut 10042 is in its idle position. Similarly, the
closure pin 10032 can pass by the firing nut 10042 in its idle
position when the closure pin 10032 is moved distally to open the
anvil. In order to facilitate this relative movement, the firing
nut 10042 can include an opening, such as slot 10046, for example,
defined therein through which the closure pin 10032 can pass as the
closure pin 10032 moves relative to the firing nut 10042. Such an
opening defined in the firing nut 10042 could also permit the
firing nut 10042 to slide by the closure pin 10032 in various other
embodiments.
Further to the above, the first length 10025 and the second length
10027 can at least partially overlap. Moreover, the first thread
10024 and the second thread 10026 can at least partially overlap.
The first thread 10024 and the second thread 10026 can be defined
on the same portion of the drive screw 10020. The first thread
10024 and the second thread 10026 can be sufficiently dissimilar
such that the closure pin 10032 does not follow the second thread
10026 and such that the firing nut 10042 does not follow the first
thread 10024. For instance, the first thread 10024 can include a
first thread pitch and the second thread 10026 can include a second
thread pitch which is different than the first thread pitch. The
first thread pitch of the first thread 10024 may or may not be
constant. In the event that the first thread pitch is constant, the
closure pin 10032 and the anvil operably engaged with the first
thread 10024 will move at a constant speed throughout the closure
stroke for a given rotational speed of the drive shaft 10020. In
the event that the first thread pitch is not constant, the closure
pin 10032 and the anvil will move at different speeds during the
closure stroke for a given rotational speed of the drive shaft
10020. For instance, the distal portion of the first thread 10024
can include a thread pitch which is greater than the thread pitch
of the proximal portion of the first thread 10024. In such
circumstances, the anvil will move quickly away from its open
position and move slower once it nears its closed position for a
given rotational speed of the drive shaft 10020. Such an
arrangement would permit the anvil to be moved quickly into
position against tissue positioned intermediate the anvil and the
staple cartridge and then slower once the anvil was engaged with
the tissue in order to mitigate the possibility of over-compressing
the tissue. In various other instances, the distal portion of the
first thread 10024 can include a thread pitch which is less than
the thread pitch of the proximal portion of the first thread 10024.
In either event, the thread pitch can change between the ends of
the first thread 10024. This change can be linear and/or
non-linear.
Further to the above, the second thread pitch of the second thread
10026 may or may not be constant. In the event that the second
thread pitch is constant, the firing nut 10042 and the firing
member operably engaged with the second thread 10026 will move at a
constant speed throughout the closure stroke for a given rotational
speed of the drive shaft 10020. In the event that the second thread
pitch is not constant, the firing nut 10042 and the firing member
will move at different speeds during the firing stroke for a given
rotational speed of the drive shaft 10020. For instance, the distal
portion of the second thread 10026 can include a thread pitch which
is less than the thread pitch of the proximal portion of the second
thread 10026. In such circumstances, the firing member will move
slower at the end of its firing stroke for a given rotational speed
of the drive shaft 10020. Such an arrangement would slow the firing
member down as it reached the end of the staple forming process.
Moreover, such an arrangement could generate a larger amount of
torque at the end of the firing stroke which correlates with the
completion of the staple forming process. In various other
instances, the distal portion of the second thread 10026 can
include a thread pitch which is greater than the thread pitch of
the proximal portion of the second thread 10026. In either event,
the thread pitch can change between the ends of the second thread
10026. This change can be linear and/or non-linear.
Turning now to FIGS. 86-93, a surgical instrument 10500 can include
a shaft 10504 and an end effector 10505. The end effector 10505 can
include a staple cartridge 10506 and a movable anvil 10508. The
surgical instrument 10500 can include a closure drive including a
closure member operably engageable with the anvil 10504 and a
firing drive including a firing member configured to deploy staples
from the staple cartridge 10506. The surgical instrument 10500 can
include means for generating a rotary motion such as a hand crank
and/or an electric motor, for example. The rotary motion can be
transmitted to an input shaft 10510. The surgical instrument 10500
can include a transmission 10502 which is configured to selectively
transmit the rotation of the input shaft 10510 to the closure drive
and to the firing drive, as discussed in greater detail further
below.
The input shaft 10510 can include a input gear 10512 mounted and/or
keyed thereto which rotates with the input shaft 10510. The input
shaft 10510 can be rotatably supported by a frame of the surgical
instrument 10500 by a proximal end 10511 and a distal end 10519.
The input gear 10512 can be meshingly engaged with an intermediate
gear 10522 mounted and/or keyed to an intermediate shaft 10520.
Thus, when input shaft 10510 and input gear 10512 are rotated in
direction A (FIG. 89), intermediate shaft 10520 and intermediate
gear 10522 are rotated in direction B (FIG. 89). Similar to the
above, the intermediate shaft 10520 can be rotatably supported by
the surgical instrument frame by a proximal end 10521 and a distal
end 10529. The intermediate shaft 10520 can further include a
threaded portion 10524 which can be threadably engaged with a
shifter block 10526. Referring primarily to FIG. 87, the shifter
block 10526 can include one or more threaded apertures 10527
threadably engaged with the threaded portion 10524. When the
intermediate shaft 10520 is rotated in direction B, referring
primarily to FIG. 89, the intermediate shaft 10520 can displace the
shifter block 10526 proximally.
Further to the above, the shifter block 10526 can include a gear
slot 10528 defined therein. The input shaft 10510 can further
include a slider gear 10516 slidably mounted thereto which is
positioned in the gear slot 10528. When the shifter block 10526 is
moved proximally by the intermediate shaft 10520, as discussed
above, the shifter block 10526 can push the slider gear 10516
proximally along a keyed input shaft portion 10514. Referring
primarily to FIG. 87, the slider gear 10516 can include an aperture
10517 defined therein including one or more flat surfaces, for
example, which are aligned with corresponding flat surfaces on the
keyed input shaft portion 10514. The flat surfaces of the aperture
10517 and the keyed input shaft portion 10514 can permit the slider
gear 10516 to be slid longitudinally along the input shaft 10510
and, in addition, co-operate to transmit rotational motion between
the slider gear 10516 and the input shaft 10510. As will be
described in greater detail below, the shifter block 10526 can
slide the slider gear 10516 through a first range of positions in
which the slider gear 10516 is engaged with a closure shaft 10530,
a second range of positions in which the slider gear 10516 is
engaged with a firing shaft 10540, and a null position, or a range
of null positions, intermediate the first range and the second
range of positions in which the slider gear 10516 is not engaged
with either the closure shaft 10530 or the firing shaft 10540.
Further to the above, FIG. 85 depicts the anvil 10508 of the end
effector 10505 in a fully closed position and a firing driver 10548
in an unfired position. FIG. 86 depicts the transmission 10502 in a
configuration which is consistent with the configuration of the end
effector 10505 depicted in FIG. 85. More particularly, the slider
gear 10516 is in its null, or idle, position and is not operably
engaged with a closure shaft 10530 of the closure drive or a firing
shaft 10540 of the firing drive. When the slider gear 10516 is in
its idle position, the slider gear 10516 is positioned intermediate
a closure gear 10532 mounted and/or keyed to the closure shaft
10530 and a firing gear 10542 mounted and/or keyed to the firing
shaft 10540. Moreover, the slider gear 10516 is not engaged with
the closure gear 10532 or the firing gear 10542 when the slider
gear 10516 is in its idle position. In order to move the anvil
10508 into its open position, and/or detach the anvil 10508 from
the end effector 10505, as illustrated in FIG. 88, the input shaft
10510 can be rotated in direction A, as illustrated in FIG. 89. As
discussed above, the rotation of input shaft 10510 in direction A
can rotate the intermediate shaft 10520 in direction B and move
shifter block 10526 proximally. When the shifter block 10526 moves
proximally, the shifter block 10526 can push the slider gear 10516
into operative engagement with the closure gear 10532. At such
point, the continued rotation of input shaft 10510 in direction A
can be transmitted to the closure shaft 10530 via the meshingly
engaged slider gear 10516 and closure gear 10532. When the slider
gear 10516 is meshingly engaged with the closure gear 10532, the
rotation of the input shaft 10510 in direction A will rotate the
output shaft 10530 in direction C, as illustrated in FIG. 89. The
closure drive can further include a closure nut 10536 comprising a
threaded aperture 10537 defined therein which is threadably engaged
with a threaded portion 10534 of the closure shaft 10530. The
closure nut 10536 can include one or more anti-rotation features
slidably engaged with the frame of the surgical instrument, for
example, which can prevent the closure nut 10536 from rotating with
the closure shaft 10530 such that the rotational movement of the
closure shaft 10530 can be converted to longitudinal movement of
the closure nut 10536. The closure system can further include a
closure member 10538 extending from the closure nut 10536 which can
be engaged with the anvil 10508. When the closure shaft 10530 is
rotated in direction C, referring again to FIG. 89, the closure nut
10536 and the closure member 10538 can be advanced distally to move
the anvil 10508 into an open position.
Further to the above, FIG. 89 depicts the transmission 10502 in a
closure configuration, i.e., a configuration in which the anvil
10508 can be opened and closed. When the slider gear 10516 is
meshingly engaged with the closure gear 10532, the input shaft
10510 will directly drive the closure shaft 10530. Concurrently,
the input shaft 10510 will directly drive the intermediate shaft
10520 owing to the meshing engagement between the input gear 10512
and the intermediate gear 10522. Also, when the slider gear 10516
is meshingly engaged with the closure gear 10532, the slider gear
10516 is not meshingly engaged with the firing gear 10542 and, as
such, the input shaft 10510 will not drive the firing shaft 10540
when the transmission 10502 is in the closure configuration.
Once the anvil 10508 has been moved into an open position and/or
detached from the closure member 10538, further to the above,
tissue can be positioned intermediate the anvil 10508 and the
staple cartridge 10506. Thereafter, referring to FIGS. 90 and 91,
the anvil 10508 can be moved into its closed position by rotating
the input shaft 10510 in an opposite direction, i.e., direction A',
which will rotate the closure shaft 10530 in an opposite direction,
i.e., direction C', in order to move the closure nut 10536, the
closure member 10538, and the anvil 10508 proximally. The input
shaft 10510 will also rotate intermediate shaft 10520 in an
opposite direction, i.e., direction B', when the input shaft 10510
is rotated in direction A'. When the intermediate shaft 10520 is
rotated in direction B', the intermediate shaft 10520 will displace
the shifter block 10526 and the slider gear 10516 distally. The
shifter block 10526 can push the slider gear 10516 distally until
the slider gear 10516 is no longer meshingly engaged with the
closure gear 10532 and the slider gear 10516 has been returned to
its idle position. Additional rotation of the intermediate shaft
10520 in direction B' will cause the shifter block 10526 to
displace the slider gear 10516 distally until the slider gear 10516
is meshingly engaged with the firing gear 10542. At such point,
referring to FIGS. 92 and 93, the input shaft 10510 can directly
drive the firing shaft 10540. Thereafter, the input shaft 10510 can
rotate the firing shaft 10540 in direction D' when the input shaft
10510 is rotated in direction A'. The firing system can further
comprise a firing nut 10546 including a threaded aperture 10547
which is threadably engaged with a threaded portion 10544 of the
firing shaft 10540. When the firing shaft 10410 is rotated in
direction A', the firing shaft 10540 can advance the firing nut
10546 distally. The firing nut 10546 can include one or more
anti-rotation features which can be slidably engaged with the frame
of the surgical instrument such that the firing nut 10546 does not
rotate with the firing shaft 10540 and such that rotational
movement of the firing shaft 10540 can be converted to longitudinal
movement of the firing nut 10546. The firing drive can further
include a firing member 10548 extending from the firing nut 10546
which is advanced distally to eject staples from the staple
cartridge 10506. Throughout the firing stroke of the firing system,
the shifter block 10526 can continue to advance the slider gear
10516 distally. The firing stroke can be completed when the shifter
block 10526 advances slider gear 10516 distally to the point in
which the slider gear 10516 is no longer threadably engaged with
the firing gear 10542. At such point, the firing member 10548 may
be in its fully fired position.
Further to the above, FIG. 93 depicts the transmission 10502 in a
firing configuration, i.e., a configuration in which the firing
member 10548 can be advanced or retracted. When the slider gear
10516 is meshingly engaged with the firing gear 10542, the input
shaft 10510 will directly drive the firing shaft 10540.
Concurrently, the input shaft 10510 will directly drive the
intermediate shaft 10520 owing to the meshing engagement between
the input gear 10512 and the intermediate gear 10522. Also, when
the slider gear 10516 is meshingly engaged with the firing gear
10542, the slider gear 10516 is not meshingly engaged with the
closure gear 10532 and, as such, the input shaft 10510 will not
drive the closure shaft 10530 when the transmission 10502 is in the
firing configuration.
In order to retract the firing member 10548, the input shaft 10510
can be rotated in direction A to rotate intermediate shaft 10520 in
direction B, displace the shifter block 10526 proximally, and
re-engage the slider gear 10516 with the firing gear 10542. At such
point, the continued rotation of input shaft 10510 in direction A
will rotate the firing shaft 10540 in an opposite direction to
direction D', displace the firing nut 10546 proximally, and retract
the firing member 10548. As the slider gear 10516 is rotating the
firing gear 10542, the shifter block 10526 can continue to pull the
slider gear 10516 proximally until the slider gear 10516 is no
longer meshingly engaged with the firing gear 10542 and the slider
gear 10516 reaches its idle position. At such point, the continued
rotation of input shaft 10510 in direction A will continue to
displace the shifter block 10526 and the slider gear 10516
proximally and re-engage the slider gear 10516 with the closure
gear 10532 in order to re-open the anvil 10508.
FIGS. 94-98 illustrates a surgical instrument 11010 configured to
staple and/or incise tissue. Surgical instrument 11010 can include
a pistol-grip shaped handle 11015. Handle 11015 includes a first
handle portion 11020 defining a longitudinal axis 11030 from which
jaws 11070 and 11090 can extend. Handle 11015 includes a second
handle portion, i.e., handle grip 11040, which defines a second
portion axis 11050. Second portion axis 11050 defines an angle
11060 with longitudinal axis 11030. In various instances, angle
11060 can comprise any suitable angle, such as about 120 degrees,
for example. The jaw 11070 can comprise a cartridge channel
including an opening configured to removably receive a staple
cartridge 11080. The staple cartridge 11080 can include a plurality
of staples removably stored within staple cavities arranged in at
least two longitudinal rows, one on either side of a channel in
which a knife for transecting tissue can travel, as described in
greater detail below. In at least on instance, three longitudinal
rows of staple cavities can be arranged on a first side of the
knife channel while three longitudinal rows of staple cavities can
be arranged on a second side of the knife channel. The jaw 11090
can comprise an anvil rotatable to a position in opposition to and
alignment with the staple cartridge 11080 so that anvil pockets
defined in the anvil 11090 can receive and form staples ejected
from the staple cartridge 11080. FIG. 98 depicts the anvil 11090 in
an open position while FIG. 94 depicts the anvil 11090 in a closed
position. Although not illustrated, other embodiments are
envisioned in which the jaw including the staple cartridge 11080 is
rotatable relative to the anvil 11090. In any event, as will be
described in greater detail below, the handle 11015 can further
include a closure button 11065 (FIG. 98) configured to operate a
closure system which moves the anvil 11090 between its open and
closed positions and a firing button 11055 configured to operate a
firing system which ejects the staples from the staple cartridge
11080. The closure button 11065 can be positioned and arranged on
the handle 11015 such that it can be easily accessed by the thumb
of the operator's hand which is supporting the handle 11015, for
example, while the firing button 11055 can be positioned and
arranged such that it can be easily accessed by the index finger of
the operator's handle which is supporting the handle 11015.
Further to the above, the anvil 11090 can be moved toward and away
from the staple cartridge 11080 during use. In various instances,
the closure button 11065 can include a bi-directional switch. When
the closure button 11065 is depressed in a first direction, the
closure system of the surgical instrument 11010 can move the anvil
11090 toward the staple cartridge 11080 and, when the closure
button 11065 is depressed in a second direction, the closure system
can move the anvil 11090 away from the staple cartridge 11080.
Referring primarily to FIGS. 95 and 97, the closure system can
include a closure motor 11110 configured to move the anvil 11090.
The closure motor 11110 can include a rotatable closure shaft 11130
extending therefrom to which a first closure gear 11140 can be
affixed. The closure motor 11110 can rotate the closure shaft 11130
and the closure shaft 11130 can rotate the first closure gear
11140. The first closure gear 11140 can be meshingly engaged with
an idler gear 11150 which, in turn, can be meshingly engaged with a
closure lead screw drive gear 11160. Closure lead screw drive gear
11160 is affixed to a closure lead screw 11170. When the first
closure gear 11140 is rotated by the closure shaft 11130, the first
closure gear 11140 can rotate the idler gear 11150, the idler gear
11150 can rotate the closure lead screw drive gear 11160, and the
closure lead screw drive gear 11160 can rotate the closure lead
screw 11170.
Referring primarily to FIG. 97, the closure shaft 11130, the first
closure gear 11140, the idler gear 11150, and the closure lead
screw drive gear 11160 can be rotatably supported by a motor block
11125 supported within the handle portion 11120. The closure lead
screw 11170 can include a first end which is also rotatably
supported by the motor block 11125 and/or a second end which is
rotatably supported by the housing of the handle 11015. The closure
lead screw 11170 can further comprise a threaded portion
intermediate the first end and the second end. The closure system
can further comprise a closure block 11175 (FIG. 96) which can
include a threaded aperture 11176 which is threadably engaged with
the threaded portion of the closure lead screw 11170. The closure
block 11175 can be constrained from rotating with the closure lead
screw 11170 such that, when the closure lead screw 11170 is
rotated, the closure lead screw 11170 can displace the closure
block 11175 proximally or distally, depending on the direction in
which the closure lead screw 11170 is being rotated. For instance,
if the closure lead screw 11170 is rotated in a first direction,
the closure lead screw 11170 can displace the closure block 11175
distally and, when the closure lead screw 11170 is rotated in a
second, or opposite, direction, the closure lead screw 11170 can
displace the closure block 11175 proximally. Referring primarily to
FIG. 96, the closure block 11175 can be mounted to a latch member
in the form of closure channel 11180, which translates along the
outside of cartridge channel 11170. In various instances, the
closure channel 11180 can be enclosed within the handle portion
11120 while, in some instances, the closure channel 11180 can
protrude from the handle portion 11120. Closure channel 11180 can
comprise an approximately "U" shaped channel when viewed from the
end and can include opposing sidewalls 11182. Each sidewall 11182
can include a cam slot 11190 defined therein. As described in
greater detail further below, the cam slots 11190 can be configured
to engage the anvil 11090 and move the anvil 11090 relative to the
staple cartridge 11080.
Further to the above, the closure channel 11180 fits around the
cartridge channel 11070 so that cartridge channel 11070 nests
inside the "U" shape of the closure channel 11180. Referring
primarily to FIG. 96, the cartridge channel 11070 can include
elongated slots 11195 defined therein and the closure channel 11180
can include pins which extend inwardly into the elongated slots
11195. The closure channel pins and the elongated slots 11195 can
constrain the movement of the closure channel 11180 such that
closure channel 11180 translates relative to the cartridge channel
11070 along a longitudinal path. The translational movement of the
closure channel 11180 can rotate the anvil 11090. The anvil 11090
can be connected to the closure channel 11180 via a distal closure
pin 11210 which extends through anvil cam holes 11211 defined in
the anvil 11090 and the cam slots 11190 defined in the closure
channel 11180. Each cam slot 11190 can include a first, or distal,
end 11191 and a second, or proximal, end 11192. Each cam slot 11190
can further include a first, or proximal, drive surface 11193 and a
second, or distal, drive surface 11194. When the closure system is
in its open configuration and the anvil 11090 is in its open
position, the closure channel 11180 can be in its first, or
unadvanced, position and the distal closure pin 11210 can be in the
first, or distal, ends 11191 of the cam slots 11190. When the
closure channel 11180 is advanced distally to move the anvil 11090
toward the staple cartridge 11080, the first drive surface 11193
can contact the distal closure pin 11210 and push the distal
closure pin 11210 downwardly toward the staple cartridge 11080.
When the closure system is in its closed configuration and the
anvil 11090 is in its closed position opposite the staple cartridge
11080, the closure channel 11180 can be in its second, or
completely advanced, position and the distal closure pin 11210 can
be in the second, proximal ends 11192 of the cam slots 11190.
Each cam slot 11190 can comprise a curved, or arcuate, path. The
first drive surface 11193 can comprise a first arcuate surface and
the second drive surface 11194 can comprise a second arcuate
surface. In various instances, each cam slot 11190 can include at
least one curved portion and at least linear portion. In at least
one instance, each first drive surface 11193 can comprise a flat
surface in a distal end 11191 of a cam slot 11190. The flat surface
can comprise a vertical surface which is perpendicular to, or at
least substantially perpendicular to, the longitudinal axis 11030
of the instrument 11010. Such a flat surface can act as a detent
which would require an initial amount of force to displace the
closure pin 11210 into the arcuate portion of the cam slot 11190.
In certain instances, each first drive surface 11193 can comprise a
flat surface 11196 in a proximal end 11192 of a cam slot 11190.
Each flat surface 11196 can comprise a horizontal surface which is
parallel to, or at least substantially parallel to, the
longitudinal axis 11030. The flat surfaces 11196 can provide a
large mechanical advantage between the closure channel 11180 and
the anvil 11090. In various instances, the first drive surfaces
11193 can apply very little mechanical advantage to the closure pin
11210 when the closure pin 11210 is in the distal ends 11191 of the
slots 11190; however, as the closure pin 11210 slides through the
cam slots 11190 toward the proximal ends 11192, the mechanical
advantage applied to the closure pin 11210 by the first drive
surfaces 11193 can increase. When the closure pin 11210 enters into
the proximal ends 11192, the mechanical advantage applied by the
first drive surfaces 11193 can be at its greatest, and certainly
larger than the mechanical advantage applied by the first drive
surfaces 11193 when the closure pin 11210 is in the distal ends
11191 of the cam slots 11190. That said, where the distal ends
11191 may apply a lower mechanical advantage to the closure pin
11210, the distal ends 11191 may quickly displace the closure pin
11210 relative to the cartridge 11080. As the closure channel 11180
is advanced distally and the mechanical advantage applied to the
closure pin 11210 increases, as discussed above, the first drive
surfaces 11193 may move the anvil 11090 more slowly for a given
speed of the closure channel 11180.
As illustrated in FIG. 96, the cartridge channel 11070 can further
include distal closure slots 11215 defined therein which can be
configured to receive the distal closure pin 11210 as the anvil
11090 approaches its closed position. Distal closure slots 11215
are substantially vertical and can include open ends at the top of
the cartridge channel 11070 and closed ends at the opposite ends
thereof. The slots 11215 may be wider at their open ends than their
closed ends. In various instances, the closure pin 11210 can
contact the closed ends of the closure slots 11215 when the anvil
11090 reaches its closed position. In such instances, the closed
ends of the closure slots 11215 can stop the movement of the anvil
11090. In certain instances, the anvil 11090 can contact the staple
cartridge 11080 when the anvil 11090 is in its closed position. In
at least one instance, the anvil 11090 can be rotated about the
pivot pin 11200 until a distal end 11091 of the anvil 11090
contacts a distal end 11081 of the staple cartridge 11080. As
illustrated in FIG. 98, the distal closure pin 11210 which moves
the anvil 11090 is positioned distally with respect to the pivot
pin 11220. Thus, the closure force applied to the anvil 11090 by
the closure drive is applied distally with respect to the pivot
which rotatably connects the anvil 11090 to the cartridge channel
11070. Similarly, the opening force applied to the anvil 11090 by
the closure drive is applied distally with respect to the pivot
which rotatably connects the anvil 11090 to the cartridge channel
11070.
As discussed above, the handle 11015 can include a closure button
11065 configured to operate the closure system of the surgical
instrument 11010. The movement of the closure button 11065 can be
detected by a sensor or a switch, for example. When the closure
button 11065 is pressed, a closure switch 11285 can be activated,
or closed, which causes power to flow to the closure motor 11110.
In such instances, the switch 11285 can close a power circuit which
can supply electrical power to the closure motor 11110. In certain
instances, the surgical instrument 11010 can include a
microprocessor, for example. In such instances, the closure switch
11285 can be in signal communication with the microprocessor and,
when the closure switch 11285 has been closed, the microprocessor
can operably connect a power supply to the closure motor 11110. In
any event, a first voltage polarity can be applied to the closure
motor 11110 to rotate the closure output shaft 11130 in a first
direction and close the anvil 11090 and, in addition, a second, or
opposite, voltage polarity can be applied to closure motor 11110 to
rotate the closure output shaft 11130 in a second, or opposite,
direction and open the anvil 11090.
In various instances, the surgical instrument 11010 may be
configured such that the operator of the surgical instrument 11010
is required to hold the closure button 11065 in a depressed state
until the closure drive has reached its fully closed configuration.
In the event that the closure button 11065 is released, the
microprocessor can stop the closure motor 11110. Alternatively, the
microprocessor can reverse the direction of the closure motor 11110
if the closure button 11065 is released prior to the closure drive
reaching its fully closed configuration. After the closure drive
has reached its fully closed configuration, the microprocessor may
stop the closure motor 11110. In various instances, as described in
greater detail below, the surgical instrument 11010 can comprise a
closure sensor 11300 (FIGS. 96 and 98) configured to detect when
the closure system has reached its fully closed configuration. The
closure sensor 11300 can be in signal communication with the
microprocessor which can disconnect the power supply from the
closure motor 11110 when the microprocessor receives a signal from
the closure sensor 11300 that the anvil 11090 has been closed. In
various instances, re-pressing the closure button 11065 after the
closure system has been placed in its closed configuration, but
before the firing system has been operated, can cause the
microprocessor to reverse the direction of the closure motor 11110
and re-open the anvil 11090. In certain instances, the
microprocessor can re-open the anvil 11090 to its fully open
position while, in other instances, the microprocessor can re-open
the anvil 11090 to a partially open position.
Once the anvil 11090 has been sufficiently closed, the firing
system of the surgical instrument 11010 can be operated. Referring
primarily to FIGS. 95 and 97, the firing system can include a
firing motor 11120. The firing motor 11120 can be positioned
adjacent to the closure motor 11110. The closure motor 11110 can
extend along a first longitudinal motor axis and the firing motor
11120 can extend along a second longitudinal motor axis which is
parallel, or at least substantially parallel to the first motor
axis. The first longitudinal motor axis and the second longitudinal
motor axis can be parallel to the longitudinal axis 11030 of the
surgical instrument 11010. The closure motor 11110 can be
positioned on a first side of the longitudinal axis 11030 and the
firing motor 11120 can be positioned on a second side of the
longitudinal axis 11030. In such instances, the first longitudinal
motor axis can extend along a first side of the longitudinal axis
11030 and the second longitudinal motor axis can extend along a
second side of the longitudinal axis 11030. In various instances,
the first longitudinal motor axis can extend through the center of
the closure shaft 11130. Similar to the above, the firing motor
11120 can include a rotatable firing shaft 11230 extending
therefrom. Also similar to the above, the second longitudinal motor
axis can extend through the center of the firing shaft 11230.
Further to the above, a first firing gear 11240 can be mounted to
the firing shaft 11230. The first firing gear 11240 is meshingly
engaged with a firing lead screw drive gear 11250 which is mounted
to a firing lead screw 11260. When the firing shaft 11230 is
rotated by the motor 11120, the firing shaft 11230 can rotate the
first firing gear 11240, the first firing gear 11240 can rotate the
firing lead screw drive gear 11250, and the firing lead screw drive
gear 11250 can rotate the firing lead screw 11260. Referring
primarily to FIG. 97, the firing shaft 11230, the first firing gear
11240, the firing lead screw drive gear 11250, and/or the firing
lead screw 11260 can be rotatably supported by the motor block
11125. The first firing gear 11240 and the firing lead screw drive
gear 11250 can be positioned intermediate the motor block 11125 and
a first block plate 11126. The first block plate 11126 can be
mounted to the motor block 11125 and can also rotatably support the
firing shaft 11230, the first firing gear 11240, the firing lead
screw drive gear 11250, and/or the firing lead screw 11260. In
various instances, the surgical instrument 11010 can further
comprise a second block plate 11127 which can be mounted to the
first block plate 11126. Similar to the above, the first closure
gear 11140, the idler gear 11150, and the closure lead screw drive
gear 11160 can be positioned intermediate the first block plate
11126 and the second block plate 11127. In various instances, the
first block plate 11126 and/or the second block plate 11127 can
rotatably support the closure shaft 11130, the first closure gear
11140, the idler gear 11150, the closure lead screw drive gear
11160, and/or the closure lead screw 11170.
The motor and gear arrangement described above can aid in
conserving space within the handle 11015 of surgical instrument
11010. As described above, and referring primarily to FIG. 97, the
closure motor 11110 and the firing motor 11120 are located on the
motor block 11125. The closure motor 11110 is located on one side
and slightly proximally of the firing motor 11120. Offsetting one
motor proximally from another creates space for two gear trains
with one gear train behind the other. For example, the closure gear
train comprising the first closure gear 11140, the closure idler
gear 11150, and the closure lead screw drive gear 11160 is proximal
to the firing gear train comprising the first firing gear 11240 and
the firing lead screw drive gear 11250. Having motor shafts extend
proximally away from the jaws, with the main body of the motor
extending distally toward the jaws, creates room in the handle
11015 and allows a shorter handle 11015 by having the main body of
the motors 11110 and 11120 aligned parallel alongside other parts
within the handle 11015.
Further to the above, the closure and firing gear trains are
designed for space conservation. In the embodiment depicted in FIG.
97, the closure motor 11110 drives three gears, while the firing
motor 11120 drives two gears; however, the closure gear train and
the firing gear train can include any suitable number of gears. The
addition of a third gear, i.e., the closure idler gear 11150, to
the closure gear train permits the closure lead screw 11170 to be
shifted downwardly with respect to the firing lead screw 11260 so
that the separate lead screws can rotate about different axes.
Moreover, the third gear eliminates the need for larger diameter
gears to shift the axes of the lead screws so that the overall
diameter of the space required by the gear trains, and the volume
of the handle 11015, can be reduced.
Referring primarily to FIG. 98, the closure lead screw 11170 can
extend along a first longitudinal shaft axis and the firing lead
screw 11260 can extend along a second longitudinal shaft axis. The
first longitudinal shaft axis and the second longitudinal shaft
axis can be parallel to the longitudinal axis 11030 of the surgical
instrument 11010. The first longitudinal shaft axis or the second
longitudinal shaft axis can be collinear with the longitudinal axis
11030. In various instances, the firing lead screw 11260 can extend
along the longitudinal axis 11030 and the second longitudinal shaft
axis can be collinear with the longitudinal axis 11030. In such
instances, the closing lead screw 11170 and the first longitudinal
shaft axis can be offset with respect to the longitudinal axis
11030.
Further to the above, the firing lead screw 11260 can include a
first end rotatably supported by the motor block 11125, for
example, a second end rotatably supported by the handle 11015, and
a threaded portion extending between the first end and the second
end. The firing lead screw 11260 can reside within the "U" shape of
the cartridge channel 11070 and above the closure lead screw 11170.
Referring primarily to FIG. 95, the firing drive can further
comprise a firing block 11265 which can include a threaded aperture
11266 threadably engaged with the threaded portion of the firing
lead screw 11260. The firing block 11265 can be constrained from
rotating with the firing lead screw 11260 such that the rotation of
the firing lead screw 11260 can translate the firing block 11265
proximally or distally depending on the direction that the firing
lead screw 11260 is rotated by the firing motor 11120. For
instance, when the firing lead screw 11260 is rotated in a first
direction, the firing lead screw 11260 can displace the firing
block 11265 distally and, when the firing lead screw 11260 is
rotated in a second direction, the firing lead screw 11260 can
displace the firing block 11265 proximally. As described in greater
detail below, the firing block 11265 can be advanced distally to
deploy staples removably stored in the staple cartridge 11080
and/or incise tissue captured between the staple cartridge 11080
and the anvil 11090.
Further to the above, the firing block 11265 can be affixed to a
pusher block 11270 such that the pusher block 11270 translates with
the firing block 11265. The firing system can further include
firing wedges 11280 which are attached to and extend distally from
the pusher block 11270. The firing wedges 11280 can each include at
least one cam surface at a distal end thereof which can be
configured to eject staples from the staple cartridge 11080. The
firing system can further comprise a knife block 11281 slidably
disposed along the firing wedges 11280. In various instances, the
initial distal movement of the firing block 11265 may not be
transferred to the knife block 11281; however, as the firing block
11265 is advanced distally, the pusher block 11270, for example,
can contact the knife block 11281 and push the knife block 11281
and a knife 11282 mounted thereto distally. In other instances, the
knife block 11281 can be mounted to the firing wedges 11280 such
that the knife block 11281 and the knife 11282 move with the firing
wedges 11280 throughout the movement of the firing wedges 11280.
The firing block 11265, the pusher block 11270, the firing wedges
11280, the knife block 11281, and the knife 11282 can form a pusher
block and knife assembly. In any event, the firing wedges 11280 and
the knife 11282 can be moved distally to simultaneously fire the
staples stored within the staple cartridge 11080 and incise the
tissue captured between the staple cartridge 11080 and the anvil
11090. The cam surfaces of the firing wedges 11280 can be
positioned distally with respect to the cutting surface of the
knife 11282 such that the tissue captured between the staple
cartridge 11080 and the anvil 11090 can be stapled before it's
incised.
As discussed above, the closure button 11065, when pushed, contacts
the closure switch 11285 to energize closure motor 11110.
Similarly, the firing button 11055, when pushed, contacts a firing
switch 11290 to energize the firing motor 11120. In various
instances, the firing switch 11290 can close a power circuit which
can supply electrical power to the firing motor 11120. In certain
instances, the firing switch 11290 can be in signal communication
with the microprocessor of the surgical instrument 11010 and, when
the firing switch 11290 has been closed, the microprocessor can
operably connect a power supply to the firing motor 11120. In
either event, a first voltage polarity can be applied to the firing
motor 11120 to rotate the firing output shaft 11230 in a first
direction and advance the firing assembly distally and a second, or
opposite, voltage polarity can be applied to firing motor 11120 to
rotate the firing output shaft 11230 in a second, or opposite,
direction and retract the firing assembly. In various instances,
the firing button 11055 can include a bi-directional switch
configured to operate the firing motor 11120 in its first direction
when the firing button 11055 is pushed in a first direction and in
its second direction when the firing button 11055 is pushed in a
second direction.
As discussed above, the firing system can be actuated after the
closure system has sufficiently closed the anvil 11090. In various
instances, the anvil 11090 may be sufficiently closed when it has
reached its fully closed position. The surgical instrument 11010
can be configured to detect when the anvil 11090 has reached its
fully closed position. Referring primarily to FIG. 98, the surgical
instrument 11010 can include a closure sensor 11300 configured to
detect when the closure channel 11180 has reached the end of its
closure stroke and, thus, detect when the anvil 11090 is in its
closed position. The closure sensor 11300 can be positioned at or
adjacent to the distal end of the closure lead screw 11170. In at
least one instance, the closure sensor 11300 can comprise a
proximity sensor configured to sense when the closure channel 11180
is adjacent to and/or in contact with the closure sensor 11300.
Similar to the above, the closure sensor 11300 can be in signal
communication with the microprocessor of the surgical instrument
11010. When the microprocessor receives a signal from the closure
sensor 11300 that the closure channel 11180 has reached its fully
advanced position and the anvil 11090 is in a closed position, the
microprocessor can permit the firing system to be actuated.
Moreover, the microprocessor can prevent the firing system from
being actuated until the microprocessor receives such a signal from
the closure sensor 11300. In such instances, the microprocessor can
selectively apply power from a power source to the firing motor
11120, or selectively control the power being applied to the firing
motor 11120, based on the input from the closure sensor 11300.
Ultimately, in these embodiments, the firing switch 11290 cannot
initiate the firing stroke until the instrument is closed.
Certain embodiments are envisioned in which the firing system of
the surgical instrument 11010 can be operated even though the
closure system is in a partially closed configuration and the anvil
11090 is in a partial closed position. In at least one embodiment,
the firing assembly of the surgical instrument 11010 can be
configured to contact the anvil 11090 and move the anvil 11090 into
its fully closed position as the firing assembly is advanced
distally to fire the staples stored in the staple cartridge 11080.
For instance, the knife 11282 can include a camming member
configured to engage the anvil 11090 as the knife 11282 is advanced
distally which can move the anvil 11090 into its fully closed
position. The knife 11282 can also include a second camming member
configured to engage the cartridge channel 11070. The camming
members can be configured to position the anvil 11090 relative to
the staple cartridge 11080 and set a tissue gap distance
therebetween. In at least one instance, the knife 11282 can
comprise an I-beam which is displaced distally to set the tissue
gap, eject the staples from the staple cartridge 11080, and incise
the tissue.
The surgical instrument 11010 can a sensor configured to detect
when the firing system has completed its firing stroke. In at least
one instance, the surgical instrument 11010 can include a sensor,
such as an encoder, for example, which can be configured to detect
and count the rotations of the firing lead screw 11260. Such a
sensor can be in signal communication with the microprocessor of
the surgical instrument 11010. The microprocessor can be configured
to count the rotations of the firing lead screw 11260 and, after
the firing lead screw 11260 has been rotated a sufficient number of
times to fire all of the staples from the staple cartridge 11080,
the microprocessor can interrupt the power supplied to the firing
motor 11120 to stop the firing lead screw 11260. In certain
instances, the microprocessor can reverse the voltage polarity
applied to the firing motor 11120 to automatically retract the
firing assembly once the firing assembly has fired all of the
staples.
As discussed above, the surgical instrument 11010 can include a
power supply. The power supply can include a power supply located
external to the handle 11015 and a cable which can extend into the
handle 11015, for example. The power supply can include at least
one battery contained within handle 11015. A battery can be
positioned in the first handle portion 11020 and/or the handle grip
11040. It is envisioned that the batteries, gears, motors, and
rotating shafts may all be combined in one unit separable from the
rest of handle 11015. Such a unit may be cleanable and
sterilizable.
In various instances, the surgical instrument 11010 can include one
or more indicators configured to indicate the state of the surgical
instrument 11010. In at least one embodiment, the surgical
instrument 11010 can include an LED 11100, for example. To
communicate the state of the surgical instrument to the user, the
LED 11100 can glow in different colors during different operating
states of surgical instrument 11010. For example, the LED 11100 can
glow a first color when the surgical instrument 11010 is powered
and an unspent staple cartridge 11080 is not positioned in the
cartridge channel 11070. The surgical instrument 11010 can include
one or more sensors which can be configured to detect whether a
staple cartridge 11080 is present in the cartridge channel 11070
and whether staples have been ejected from the staple cartridge
11080. The LED 11100 can glow a second color when the surgical
instrument 11010 is powered and an unspent staple cartridge 11080
is positioned in the cartridge channel 11070. The LED 11010 can
glow a third color when the instrument 11010 is powered, an unspent
staple cartridge 11080 is loaded into the cartridge channel 11070,
and the anvil 11090 is in a closed position. Such a third color can
indicate that the surgical instrument 11010 is ready to fire the
staples from the staple cartridge 11080. The LED 11100 can glow a
fourth color after the firing process has begun. The LED can glow a
fifth color after the firing process has been completed. This is
but one exemplary embodiment. Any suitable number of colors could
be utilized to indicate any suitable number of states of the
surgical instrument 11010. While one or more LEDs may be utilized
to communicate the state of the surgical instrument, other
indicators could be utilized.
In use, a user of the surgical instrument 11010 may first load the
surgical instrument 11010 with a staple cartridge 11080 by placing
the staple cartridge 11080 into the cartridge channel 11070.
Loading the cartridge 11080 into the cartridge channel 11070 may
cause the LED 11100 to change from a first color to a second color.
The user may grasp the handle grip 11040 and use the thumb
activated closure switch 11065 to open the anvil 11090 of the
surgical instrument 11010 in order to place the staple cartridge
11080 within the cartridge channel 11070. The user could then
position the staple cartridge 11080 on one side of the tissue to be
stapled and transected and the anvil 11090 on the opposite side of
the tissue. Holding closure button 11065 with their thumb, the user
may close surgical instrument 11010. Release of the closure button
11065 before the closing stroke is completed can reopen the anvil
11090 and allow the user to reposition the surgical instrument
11010, if necessary. The user may enjoy the advantage of being able
to use an open linear cutter with pivotable jaws without the
necessity of assembling linear cutter portions. The user may
further enjoy the advantage of a pistol-grip feel.
As the anvil 11090 is being moved into its fully closed position,
the closure channel 11080 can contact the closure sensor 11300, and
the closure sensor 11300 can signal the microprocessor to arm
firing switch 11290. At such point, the LED 11100 may glow a third
color to show a loaded, closed, and ready-to-fire surgical
instrument 11010. The user can then press the firing button 11055
which contacts the firing switch 11290 and causes the firing switch
11290 to energize the firing motor 11120. Energizing the firing
motor 11120 rotates the firing shaft 11230 which, in turn, rotates
the first firing gear 11240 and the firing lead screw drive gear
11250. The firing lead screw drive gear 11250 rotates the firing
lead screw 11260. Threads of the firing lead screw 11260 engage and
apply a force against internal threads defined in the firing block
11265 to move the firing block 11265 distally. The firing block
11265 moves pusher block 11270 distally, carrying firing wedges
11280 distally. The cam surfaces 11305 at the distal end of the
firing wedges 11280 cam staples stored within the staple cartridge
11080 toward the anvil 11090, and the anvil 11090 can form the
staples to fasten the tissue. The pusher block 11270 engages the
knife block 11281 to push the knife block 11281 and the knife 11282
distally to transect the stapled tissue. After the firing stroke
has been completed, the firing motor 11120 can be reversed to
return the pusher block 11270, the knife block 11281, the firing
wedges 11280, and the knife 11282. The surgical instrument 11010
can include a button and/or switch which automatically instructs
the microprocessor to retract the firing assembly even though the
firing stroke has not yet been completed. In some instances, the
firing assembly may not need to be retracted. In any event, the
user can open the surgical instrument 11010 by pressing the closure
button 11065. The closure button 11065 can contact the closure
switch 11285 and energize the closure motor 11110. The closure
motor 11110 can be operated in a reverse direction to retract the
closure channel 11180 proximally to reopen the anvil 11090 of the
surgical instrument 11010. The LED 11100 may glow a fourth color
designating a fired cartridge, and a complete procedure.
A surgical stapling instrument 12010 is depicted in FIGS. 99-106.
The instrument 12010 can include a handle 12015, a closure drive
including a closure latch 12050 configured to compress tissue
between a staple cartridge 12080 and an anvil 12090, and a firing
drive configured to eject staples from the staple cartridge 12080
and incise the tissue. FIG. 99 depicts the instrument 12010 in an
open, unlatched condition. When the instrument 12010 is in its
open, unlatched condition, the anvil 12090 is pivoted away from the
staple cartridge 12080. In various instances, the anvil 12090 can
be pivoted relative to the staple cartridge 12080 through a wide
angle so that the anvil 12090 and the staple cartridge 12080 may be
easily positioned on opposite sides of the tissue. FIG. 100 depicts
the instrument 12010 in a closed, unlatched condition. When the
instrument 12010 is in its closed, unlatched condition, the anvil
12090 has been rotated toward the staple cartridge 12080 into a
closed position opposite the staple cartridge 12080. In various
instances, the closed position of the anvil 12090 may depend on the
thickness of the tissue positioned intermediate the anvil 12090 and
the staple cartridge 12080. For instance, the anvil 12090 may reach
a closed position which is further away from the staple cartridge
12080 when the tissue positioned intermediate the anvil 12090 and
the staple cartridge 12080 is thicker as compared to when the
tissue is thinner. FIG. 101 depicts the instrument 12010 in a
closed, latched condition. When the instrument 12010 is in its
closed, latched condition, the closure latch 12050 has been rotated
to engage the anvil 12090 and position the anvil 12090 relative to
the staple cartridge 12080. At such point, as described in greater
detail further below, the firing drive of the surgical instrument
12010 can be actuated to fire the staples from the staple cartridge
12080 and incise the tissue.
Referring primarily to FIG. 106, the surgical instrument 12010 can
include a frame 12020 extending from the handle 12015. The frame
12020 can include a frame channel 12022 defined therein which can
be configured to receive and/or support a cartridge channel 12070.
The cartridge channel 12070 can include a proximal end and a distal
end. The proximal end of the cartridge channel 12070 can be
connected to the frame 12020. The distal end of the cartridge
channel 12070 can be configured to removably receive a staple
cartridge 12080 therein. The frame channel 12022 can include pivot
apertures 12207 defined in opposite sides thereof. A pivot pin
12205 can be supported within the pivot apertures 12207 and can
extend between the sides of the channel 12022. The closure latch
12050 can include a latch frame 12051 comprising latch bars 12052.
The latch bars 12052 can be rotatably mounted to the frame 12020
via the pivot pin 12205 which can extend through pivot apertures
12206 defined in the latch bars 12052. In various instances, the
pivot apertures 12206, 12207 and the pivot pin 12205 can define a
fixed axis 12208 about which the closure latch 12050 can rotate.
The closure latch 12050 can further include a latch housing 12057
mounted to the latch bars 12052. When the latch housing 12057 is
moved by the user of the surgical instrument 12010, the latch
housing 12057 can move the latch bars 12052. The operation of the
closure latch 12050 is described in greater detail further
below.
Further to the above, the anvil 12090 can include a proximal end
and a distal end. The distal end of the anvil 12090 can include a
plurality of staple forming pockets which are alignable, or
registerable, with staple cavities defined in the staple cartridge
12080 when the anvil 12090 is in its closed position. The proximal
end of the anvil 12090 can be pivotably connected to the frame
12020. The anvil 12090 can include a pivot aperture 12201 which can
be aligned with pivot apertures 12202 defined in the cartridge
channel 12207 and a pivot aperture 12203 defined in the frame
12020. A pivot pin 12200 can extend through the pivot apertures
12201, 12202, and 12203 and can rotatably connect the anvil 12090
to the cartridge channel 12207. In various instances, the pivot
apertures 12201, 12202, and 12203 and the pivot pin 12200 can
define a fixed axis about the anvil 12090 can rotate. In certain
instances, the pivot apertures 12201, 12202 and/or 12203 can be
longitudinally elongate, for example, such that the pivot pin 12200
can slide within the pivot apertures 12201, 12202 and/or 12203. In
such instances, the anvil 12090 can rotate about an axis relative
to the cartridge channel 12070 and, in addition, translate relative
to the cartridge channel 12070. The anvil 12090 can further include
an anvil housing 12097 mounted thereto. When the anvil housing
12097 is moved by the user of the surgical instrument 12010, the
anvil housing 12097 can move the anvil 12090 such that the anvil
12090 can be rotated between an open position (FIG. 99) and a
closed position (FIG. 100).
Further to the above, the anvil 12090 can further include a latch
pin 12210. The anvil 12090 can include latch pin apertures 12211
and the anvil housing 12097 can include latch pin apertures 12212
which are configured to receive and support the latch pin 12210.
When the anvil 12090 has been moved into its closed position, or a
position adjacent to its closed position, the latch 12050 can
engage the latch pin 12210 and pull the anvil 12090 toward the
staple cartridge 12080. In various instances, the latch bars 12052
of the latch 12050 can each include a latch arm 12053 configured to
engage the latch pin 12210. The latch 12050 can be rotated between
an unlatched position (FIG. 100) in which the latch arms 12053 are
not engaged with the latch pin 12210 and a latched position (FIG.
101). When the latch 12050 is moved between its unlatched position
and its latched position, the latch arms 12053 can engage the latch
pin 12210 and move the anvil 12090 toward the staple cartridge
12080. Each latch arm 12053 can include a camming surface
configured to contact the latch pin 12210. The camming surfaces can
be configured to push and guide the latch pin 12210 toward the
staple cartridge 12080. When the latch 12050 has reached its
latched position, the latch pin 12210 can be captured within latch
slots 12054 defined in the latch bars 12052. The latch slots 12054
can be at least partially defined by the latch arms 12053. The
opposite sides of the latch slots 12054 can include lift surfaces
which can be configured to engage the latch pin 12210 and lift the
anvil 12090 away from the staple cartridge 12080 when the latch
12050 is rotated between its latched position and its unlatched
position to open the instrument 12010, as discussed in greater
detail further below.
As discussed above, the anvil 12090 can be moved toward the staple
cartridge 12080. In various instances, the movement of the anvil
12090 toward the staple cartridge 12080 can be stopped when a
distal end of the anvil 12090 contacts a distal end of the staple
cartridge 12080. In certain instances, the movement of the anvil
12090 can be stopped when the latch pin 12210 contacts the
cartridge channel 12070. The cartridge channel 12070 can include
slots 12215 defined therein which are configured to receive the
latch pin 12210. Each slot 12215 can include an upwardly-facing
open end through which the latch pin 12210 can enter the slot 12215
and, in addition, a closed end. In various instances, the latch pin
12210 can contact the closed ends of the slots 12215 when the anvil
12090 reaches its closed position. In certain instances, the latch
pin 12210 may not contact the closed ends of the slots 12215 if
thick tissue is positioned between the anvil 12090 and the staple
cartridge 12080. In at least one instance, the anvil 12090 can
further include a stop pin 12095. The stop pin 12095 can be mounted
to and supported by the anvil 12090 via pin apertures 12096 defined
therein. The stop pin 12095 can be configured to contact the
cartridge channel 12070 and stop the movement of the anvil 12090
toward the staple cartridge 12080. Similar to the above, the
cartridge channel 12070 can further include stop slots 12075
defined therein which can be configured to receive the stop pin
12095. Each stop slot 12075 can include an upwardly-facing open end
through which the stop pin 12095 can enter the stop slot 12275 and,
in addition, a closed end. In various instances, the stop pin 12095
can contact the closed ends of the stop slots 12075 when the anvil
12090 reaches its closed position. In certain instances, the stop
pin 12095 may not contact the closed ends of the stop slots 12075
if thick tissue is positioned between the anvil 12090 and the
staple cartridge 12080.
As discussed above, the cartridge channel 12070 can be mounted to
the frame 12020. In various instances, the cartridge channel 12070
can be rigidly and fixedly mounted to the frame 12020. In such
instances, the cartridge channel 12070 may not be movable relative
to the frame 12020 and/or the handle 12015. In certain instances,
the cartridge channel 12070 can be pivotably coupled to the frame
12020. In at least one such instance, the cartridge channel 12070
can include pivot apertures 12202 defined therein which can be
configured to receive the pivot pin 12200. In such circumstances,
both the anvil 12090 and the cartridge channel 12070 may be
rotatable relative to the frame 12020 about the pivot pin 12200.
The latch 12050 can hold the anvil 12090 and the cartridge channel
12070 in position when the latch 12050 is engaged with the latch
pin 12210.
In certain instances, further to the above, the instrument 12010
can include one or more sensors configured to detect whether the
anvil 12090 is in its closed position. In at least one instance,
the instrument 12010 can include a pressure sensor positioned
intermediate the frame 12020 and the cartridge channel 12070. The
pressure sensor can be mounted to the frame channel 12022 or the
bottom of the cartridge channel 12070, for example. When the
pressure sensor is mounted to the bottom of the cartridge channel
12070, the pressure sensor can contact the frame channel 12022 when
the cartridge channel 12070 is moved toward the frame channel
12022. The cartridge channel 12070 can be moved toward the frame
channel 12022 if the cartridge channel 12070 is rotatable relative
to the frame channel 12022, as discussed above. In addition to or
in lieu of the above, the cartridge channel 12070 can be moved
toward the frame channel 12022 if the cartridge channel 12070
flexes toward the frame channel 12022. The cartridge channel 12070
can flex toward the frame channel 12022 when a compressive load is
generated between the anvil 12090 and the cartridge channel 12070.
A compressive load between the anvil 12090 and the cartridge
channel 12070 can be generated when the anvil 12090 is moved into
its closed position and/or when the anvil 12090 is moved toward the
cartridge channel 12070 by the latch 12050. When the anvil 12090 is
pushed toward the cartridge channel 12070 and/or when the latch
12050 is used to pull the anvil 12090 toward the cartridge channel
12070, the cartridge channel 12070 can bear against the pivot pin
12205. In various instances, the cartridge channel 12070 can
include a slot or groove 12209 defined therein which can be
configured to receive the pivot pin 12205. In any event, the
pressure sensor can be configured to detect the pressure or force
being applied to the cartridge channel 12070. The pressure sensor
can be in signal communication with a microprocessor of the
surgical instrument 12010. When the pressure or force detected by
the pressure sensor exceeds a threshold value, the microprocessor
can permit the firing system of the instrument 12010 to be
operated. Prior to the pressure or force exceeding the threshold
value, the microprocessor can warn the user of the surgical
instrument 12010 that the anvil 12090 may not be closed, or
sufficiently closed, when the user attempts to operate the firing
system. In addition to or in lieu of such a warning, the
microprocessor can prevent the firing system of the instrument
12010 from being operated if the pressure or force detected by the
pressure sensor has not exceeded the threshold value.
In certain instances, further to the above, the instrument 12010
can include one or more sensors configured to detect whether the
latch 12050 is in its latched position. In at least one instance,
the instrument 12010 can include a sensor 12025 positioned
intermediate the frame 12020 and the cartridge channel 12070. The
sensor 12025 can be mounted to the frame channel 12022 or the
bottom of the cartridge channel 12070, for example. When the sensor
12025 is mounted to the bottom of the cartridge channel 12070, the
latch 12050 can contact the sensor 12025 when the latch 12050 is
moved from its unlatched position to its latched position. The
sensor 12025 can be in signal communication with the microprocessor
of the surgical instrument 12010. When the sensor 12025 detects
that the latch 12050 is in its latched position, the microprocessor
can permit the firing system of the instrument 12010 to be
operated. Prior to the sensor 12025 sensing that the latch 12050 is
in its latched position, the microprocessor can warn the user of
the surgical instrument 12010 that the anvil 12090 may not be
closed, or sufficiently closed, when the user attempts to operate
the firing system. In addition to or in lieu of such a warning, the
microprocessor can prevent the firing system of the instrument
12010 from being operated if the latch 12050 is not detected in its
latched position. In various instances, the sensor 12025 can
comprise a proximity sensor, for example. In certain instances, the
sensor 12025 can comprise a Hall Effect sensor, for example. In at
least one such instance, the latch 12050 can include at least one
magnetic element, such as a permanent magnet, for example, which
can be detected by the Hall Effect sensor. In various instances,
the sensor 12025 can be held in position by a bracket 12026, for
example.
Referring primarily to FIG. 105, the firing system of the surgical
instrument 12010 can include a firing motor 12120 configured to
rotate a firing shaft 12230. The firing motor 12120 can be mounted
to a motor frame 12125 within the handle 12015 of the surgical
instrument 12010 such that the firing shaft 12230 extends distally.
The firing system can further comprise a gear train including, one,
a first firing gear 12240 mounted to the closure shaft 12230 and,
two, a lead screw gear 12250 mounted to a lead screw 12260. The
first firing gear 12240 can be meshingly engaged with the lead
screw gear 12250 such that, when the first firing fear 12240 is
rotated by the firing shaft 12230, the first firing gear 12240 can
rotate the lead screw gear 12250 and the lead screw gear 12250 can
rotate the lead screw 12260. Referring primarily to FIG. 104, the
lead screw 12260 can comprise a first end 12261 rotatably 12250
mounted within an aperture defined in the motor block 12125 and a
second end 12263 rotatably supported within a bearing mounted to a
bearing portion 12264 of the handle 12015. The lead screw 12260 can
further include a threaded portion 12262 extending between the
first end 12261 and the second end 12263. The firing system can
further comprise a firing nut 12265 threadably engaged with the
threaded portion 12262 of the lead screw 12260. The firing nut
12265 can be constrained from rotating with the lead screw 12260
such that, when the lead screw 12260 is rotated in a first
direction by the firing motor 12120, the lead screw 12260 can
advance the firing nut 12265 distally and, correspondingly, when
the lead screw 12260 is rotated in a second, or opposite, direction
by the firing motor 12120, the lead screw 12260 can retract the
firing nut 12265 proximally.
Further to the above, the firing nut 12265 can be mounted to a
firing block 12270 which can translate with the firing nut 12265.
In various instances, the firing nut 12265 and the firing block
12270 can be integrally formed. Similar to the above, the firing
system can further include firing bars 12280 extending therefrom
which translate with the firing nut 12265 and the firing block
12270. In various instances, the firing nut 12265, the firing block
12270, and the firing bars 12280 can comprise a firing assembly
that is translated proximally and/or distally by the lead screw
12160. When the firing assembly is advanced distally by the lead
screw 12260, the firing bars 12280 can enter into the staple
cartridge 12080 and eject the staples therefrom. The firing system
can further comprise a knife block 12281 and a knife bar 12282
mounted to and extending from the knife block 12281. As the firing
block 12270 is advanced distally, the firing bars 12280 can engage
the knife block 12281 and advance the knife block 12281 and the
knife bar 12282 distally. In various instances, the firing block
12270 can move relative to the knife block 12281 during the initial
portion of the firing stroke and then move together during the
final portion of the firing stroke. In at least one such instance,
the firing bars 12280 can slide through slots defined in the knife
block 12281 until one or more raised surfaces extending from the
firing bars 12280 contact the knife block 12281 and push the knife
block 12281 distally with the firing bars 12280. In various
instances, the firing assembly can further include the knife block
12281 and the knife bar 12282 which can move concurrently with the
firing block 12270 and the firing bars 12280. In either event, as
the knife bar 12282 is advanced distally, a cutting edge 12283 of
the knife bar 12282 can incise tissue captured between the anvil
12090 and the staple cartridge 12080. The disclosure of U.S. Pat.
No. 4,633,874, entitled SURGICAL STAPLING INSTRUMENT WITH JAW
LATCHING MECHANISM AND DISPOSABLE LOADING CARTRIDGE, which issued
on Jan. 6, 1987, is incorporated by reference herein in its
entirety.
Referring primarily to FIG. 106, the firing system of the surgical
instrument 12010 can include a firing button 12055 and a firing
switch 12290. When the user of the surgical instrument 12010
depresses the firing button 12055, the firing button 12055 can
contact the firing switch 12290 and close a firing circuit which
can operate the firing motor 12120. When the user of the surgical
instrument 12010 releases the firing button 12055, the firing
circuit can be opened and the power supplied to the firing motor
12120 can be interrupted. The firing button 12055 can be pushed
once again to operate the firing motor 12120 once again. In certain
instances, the firing button 12055 can comprise a bi-directional
switch which, when pushed in a first direction, can operate the
firing motor 12120 in a first direction and, when pushed in a
second direction, can operate the firing motor 12120 in a second,
or opposite, direction. The firing switch 12090 and/or any suitable
arrangement of firing switches can be in signal communication with
the microprocessor of the surgical instrument 12010 which can be
configured to control the power supplied to the firing motor 12120.
In certain instances, further to the above, the microprocessor may
ignore signals from the firing button 12055 until the sensor 12025
has detected that the latch 12050 has been closed. In any event,
the firing button 12055 can be pushed in its first direction to
advance the firing bars 12280 and the knife 12282 distally and its
second direction to retract the firing bars 12280 and the knife
12282 proximally. In certain instances, the surgical instrument
12010 can include a firing button and switch configured to operate
the firing motor 12120 in its first direction and a retraction
button and switch configured to operate the firing motor 12120 in
its second direction. After the firing bars 12280 and the knife
12282 have been retracted, the latch 12050 can be moved from its
latched position to its unlatched position to disengage the latch
arms 12053 from the latch pin 12210. Thereafter, the anvil 12090
can be pivoted away from the staple cartridge 12080 to return the
surgical instrument 12010 to an open, unlatched condition. Similar
to the above, the surgical instrument 12010 can include one or more
indicators, such as LED 12100, for example, configured to indicate
the status of the surgical instrument 12010. The LED 12100 can be
in signal communication with the microprocessor of the surgical
instrument 12010 and can operate in a similar manner to that
described in connection with the LED 11100, for example. The LED
12100 can be held in position by a bracket 12101, for example.
In various instances, the instrument 12010 can include a firing
lockout system which can block the advancement of the knife 12282
and/or the firing bars 12280 if the anvil 12090 is not in a closed,
or a sufficiently closed, position. Referring to FIGS. 104 and 106,
the instrument 12010 can comprise a biasing member 12400 mounted to
the cartridge channel 12070, for example, which can bias the knife
12282 into engagement with a lock portion of the handle 12015. When
the anvil 12090 is rotated into its closed position, the anvil
12090 can push the knife 12282 downwardly away from the lock
portion against the biasing force of the biasing member 12400. At
such point, the knife 12282 can be advanced distally. Similarly,
the instrument 12010 can include a biasing member which can bias
the firing bars 12280 into engagement with a lock portion of the
handle 12015 wherein the anvil 12090 can disengage the firing bars
12280 from the lock portion when the anvil 12090 is moved into its
closed position.
The surgical instrument 12010 can comprise a manually driven
closure system and a motor driven staple firing system. A portion
12040 of the handle 12015 can be gripped by one hand of the user of
the surgical instrument 12010 and the anvil 12090 and the latch
12050 can be manipulated by their other hand. As part of closing
the latch 12050, in at least one embodiment, the user can move one
of their hands in the general direction of their other hand which
can reduce the incidental and accidental movement of the surgical
instrument 12010. The surgical instrument 12010 can be powered by
any suitable power source. For instance, an electrical cable can
extend from an external power source and into the handle 12015. In
certain instances, a battery can be stored in the handle 12015, for
example.
A surgical stapling instrument 13010 is illustrated in FIGS.
107-110. FIG. 107 is a side view of the surgical instrument 13010
illustrated with some components removed and others shown in
cross-section. The instrument 13010 can comprise a handle 13015, a
first actuator 13020, a second actuator 13030, a shaft assembly
13040, and an end effector 13012 including an anvil 13050 and a
staple cartridge 13055. The shaft portion 13040 and the anvil 13050
can operate as shown and discussed in U.S. Pat. No. 5,704,534,
entitled ARTICULATION ASSEMBLY FOR SURGICAL INSTRUMENTS, which
issued on Jan. 6, 1998. The disclosure of U.S. Pat. No. 5,704,534,
entitled ARTICULATION ASSEMBLY FOR SURGICAL INSTRUMENTS, which
issued on Jan. 6, 1998, is incorporated herein by reference by its
entirety. An electrical input cable 13018 can connect the
instrument 13010 to an external power source. In at least one
instance, the external power source can comprise a generator, such
as the GEN11 generator manufactured by Ethicon Energy, Cincinnati,
Ohio, for example. In various instances, the external power source
can comprise an AC to DC adaptor. In certain instances, the
instrument 13010 can be powered by an internal battery, such as the
batteries shown and discussed in U.S. Pat. No. 8,210,411, entitled
MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT, which issued on Jul. 3,
2012, for example. The disclosure of U.S. Pat. No. 8,210,411,
entitled MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT, which issued on
Jul. 3, 2012, is incorporated herein by reference in its
entirety.
In various instances, referring primarily to FIG. 107, the anvil
13050 of the end effector 13012 can be movable between an open
position, as illustrated in FIG. 107, and a closed position in
which the anvil 13050 is positioned adjacent to, or in contact
with, the staple cartridge 13055, as described in greater detail
further below. In at least one such instance, the staple cartridge
13055 may not be pivotable relative to the anvil 13050. In certain
instances, although not illustrated, the staple cartridge 13055 can
be pivotable relative to the anvil 13050. In at least one such
instance, the anvil 13050 may not be pivotable relative to the
staple cartridge 13055. In any event, the user of the instrument
13010 can manipulate the end effector 13012 in order to position
tissue T between the anvil 13050 and the cartridge 13055. Once the
tissue T has been suitably positioned between the anvil 13050 and
the staple cartridge 13055, the user can then pull the first
actuator 13020 to actuate the closure system of the instrument
13010. The closure system can move the anvil 13050 relative to the
staple cartridge 13055. For example, the first actuator 13020 can
be pulled toward a pistol grip portion 13016 of the handle 13015 to
close the anvil 13050, as described in greater detail further
below.
The closure drive can include a closure motor 13105 (FIG. 110)
configured to move the anvil 13050. The closure motor 13105 can be
mounted to the handle 13015 via a motor bracket 13101, for example.
Squeezing the first actuator 13020 from its open position (FIG.
108) to its closed position (FIG. 109) can energize the closure
motor 13105. Referring primarily to FIG. 110, the closure motor
13105 can include a rotatable output shaft which is operably
engaged with a closure lead screw 13110. When the closure motor
13105 rotates the output shaft in a first direction, the output
shaft can rotate the closure lead screw 13110 in the first
direction. The closure lead screw 13110 can be rotatably supported
within the handle 13015 and can include a threaded portion. The
closure drive can further comprise a closure nut threadably engaged
with the threaded portion of the closure lead screw 13110. The
closure nut can be constrained from rotating with the closure lead
screw 13110 such that the rotational motion of the closure lead
screw 13110 can translate the closure nut. The closure nut can be
engaged with or integrally formed with a closure yoke 13120. When
the closure motor 13015 is rotated in its first direction, the
closure lead screw 13110 can advance the closure yoke 13120
distally. In various instances, the closure yoke 13120 can be
slidably supported within the handle 13015 by rails 13122 extending
from the handle 13015 which can constrain the movement of the
closure yoke 13120 to a path defined along a longitudinal axis.
Such an axis can be parallel to, substantially parallel to,
collinear with, or substantially collinear with a longitudinal axis
defined by the shaft assembly 13040. The closure drive can further
comprise a closure tube 13125 extending distally from the closure
yoke 13120. The closure tube 13125 can also be part of the shaft
assembly 13040 and can translate relative to a frame of the shaft
assembly 13040. When the closure yoke 13120 is advanced distally by
the closure lead screw 13110, the closure yoke 13120 can advance
the closure tube 13125 distally. A distal end of the closure tube
13125 can be operably engaged with the anvil 13050 such that, when
the closure tube 13125 is advanced distally, the closure tube 13125
can push the anvil 13050 from its open position toward its closed
position. U.S. Pat. No. 5,704,534, entitled ARTICULATION ASSEMBLY
FOR SURGICAL INSTRUMENTS, which issued on Jan. 6, 1998, discloses a
manually-driven closure system.
In at least one form, the instrument 13010 can include a closure
system switch positioned in the handle 13015 which can be closed
when the first actuator 13020 is moved from its open position (FIG.
108) toward its closed position (FIG. 109). In certain instances,
the closure system switch can be closed when the first actuator
13020 is in its closed position (FIG. 109). In either event, when
the closure system switch is closed, a closure system power circuit
can be closed to supply electrical power to the closure motor 13105
in order to rotate the closure motor 13105 in its first direction,
as discussed above. In certain instances, the surgical instrument
13010 can include a microprocessor and, similar to the above, the
closure system switch can be in signal communication with the
microprocessor. When the closure system switch sends a signal to
the microprocessor indicating that the first actuator 13020 has
been closed, the microprocessor can permit power to be supplied the
closure motor 13105 to operate the closure motor 13105 in its first
direction and move the anvil 13050 toward its closed position. In
various instances, the closure motor 13105 can move the anvil 13050
toward its closed position so long as the first actuator 13020 is
at least partially actuated and the closure system switch is in a
closed state. In the event that the user releases the first
actuator 13020 and the first actuator 13020 is returned to its
unactuated position, the closure system switch can be opened and
the power supplied to the closure motor 13105 can be interrupted.
Such instances may leave the anvil 13050 in a partially closed
position. When the first actuator 13020 is actuated once again and
the closure system switch has been closed, power can be supplied to
the closure motor 13105 once again to move the anvil 13050 toward
its closed position. In view of the above, the user of the surgical
instrument 13010 can actuate the first actuator 13020 and wait for
the closure motor 13105 to position the anvil 13050 in its fully
closed position.
In at least one form, the movement of the first actuator 13020 can
be proportional to the movement of the anvil 13050. The first
actuator 13020 can move through a first, or actuator, range of
motion when it is moved between its open position (FIG. 108) and
its closed position (FIG. 109). Similarly, the anvil 13050 can move
through a second, or anvil, range of motion when it is moved
between its open position (FIG. 107) and its closed position. The
actuator range of motion can correspond to the anvil range of
motion. By way of example, the actuator range of motion can be
equal to the anvil range of motion. For instance, the actuator
range of motion can comprise about 30 degrees and the anvil range
of motion can comprise about 30 degrees. In such instances, the
anvil 13050 can be in its fully open position when the first
actuator 13020 is in its fully open position, the anvil 13050 can
be rotated 10 degrees toward its closed position when the first
actuator 13020 is rotated 10 degrees toward its closed position,
the anvil 13050 can be rotated 20 degrees toward its closed
position when the first actuator 13020 is rotated 20 degrees toward
its closed position, and so forth. This directly proportional
movement between the first actuator 13020 and the anvil 13050 can
give the user of the instrument 13010 a sense of the anvil position
13050 relative to the staple cartridge 13055 in the event that the
anvil 13050 is obstructed from view in the surgical site.
Further to the above, the anvil 13050 can be responsive to both
closing and opening motions of the first actuator 13020. For
example, when the first actuator 13020 is moved 10 degrees toward
the pistol grip 13016, the anvil 13050 can be moved 10 degrees
toward the staple cartridge 13055 and, when the first actuator
13020 is moved 10 degrees away from the pistol grip 13016, the
anvil 13050 can be moved 10 degrees away from the staple cartridge
13055. While the movement of the first actuator 13020 and the
movement of the anvil 13050 can be directly proportional according
to a 1:1 ratio, other ratios are possible. For instance, the
movement of the first actuator 13020 and the movement of the anvil
13050 can be directly proportional according to a 2:1 ratio, for
example. In such instances, the anvil 13050 will move 1 degree
relative to the staple cartridge 13055 when the first actuator
13020 is moved 2 degrees relative to the pistol grip 13016.
Moreover, in such instances, the range of motion of the first
actuator 13020 may be twice the range of motion of the anvil 13050.
In another instance, the movement of the first actuator 13020 and
the movement of the anvil 13050 can be directly proportional
according to a 1:2 ratio, for example. In such instances, the anvil
13050 will move 2 degrees relative to the staple cartridge 13055
when the first actuator 13020 is moved 1 degree relative to the
pistol grip 13016. Moreover, in such instances, the range of motion
of the first actuator 13020 may be half the range of motion of the
anvil 13050. In various instances, the motion of the first actuator
13020 may be linearly proportional to the motion of the anvil
13050. In other instances, the motion of the first actuator 13020
may be non-linearly proportional to the motion of the anvil 13050.
Regardless of the ratio that is used, such embodiments can be
possible through the use of a potentiometer, for example, which can
evaluate the rotation of the first actuator 13020, as will be
discussed in greater detail further below.
Further to the above, referring to FIGS. 108-110, the closure
system of the instrument 13010 can comprise a slide potentiometer
13090 which can detect the movement of the first actuator 13020.
The first actuator 13020 can be pivotably mounted to the handle
13015 via a pivot 13021. The first actuator 13020 can comprise a
gear portion 13070 comprising a plurality of gear teeth extending
circumferentially about the pivot 13021. When the first actuator
13020 is rotated proximally toward the pistol grip 13016, further
to the above, the gear portion 13070 can be rotated distally.
Correspondingly, when the first actuator 13020 is rotated distally
away from the pistol grip 13016, the gear portion 13070 can be
rotated proximally. The closure system can further comprise a
closure yoke rack 13080 which is slidably supported within the
handle 13015. The closure yoke rack 13080 can comprise a
longitudinal array of teeth extending along a bottom surface
thereof which faces the gear portion 13070 of the first actuator
13020. The gear portion 13070 of the first actuator 13020 can be
meshingly engaged with the array of teeth defined on the closure
yoke rack 13080 such that, when the first actuator 13020 is rotated
about the pivot 13021, the first actuator 13020 can displace the
closure yoke rack 13080 proximally or distally, depending on the
direction in which the first actuator 13020 is rotated. For
instance, when the first actuator 13020 is rotated toward the
pistol grip 13016, the first actuator 13020 can displace the
closure yoke rack 13080 distally. Correspondingly, when the first
actuator 13020 is rotated away from the pistol grip 13016, the
first actuator 13020 can displace the closure yoke rack 13080
proximally. The handle 13015 can include a guide slot defined
therein which can be configured to slidably support the closure
yoke rack 13080 and constrain the movement of the closure yoke rack
13080 to a path defined along a longitudinal axis. This
longitudinal axis can be parallel to, substantially parallel to,
collinear with, or substantially collinear with a longitudinal axis
of the shaft assembly 13040.
The closure yoke rack 13080 can include a detectable element 13081
mounted thereon. The detectable element 13081 can comprise a
magnetic element, such as a permanent magnet, for example. The
detectable element 13081 can be configured to translate within a
longitudinal slot 13091 defined in the slide potentiometer 13090
when the closure rack 13080 is translated within the handle 13015.
The slide potentiometer 13090 can be configured to detect the
position of the detectable element 13081 within the longitudinal
slot 13091 and convey that position to the microprocessor of the
surgical instrument 13010. For example, when the first actuator
13020 is in its open, or unactuated, position (FIG. 108), the
detectable element 13081 can be positioned at the proximal end of
the longitudinal slot 13091 and the potentiometer 13090 can
transmit a signal to the microprocessor that can indicate to the
microprocessor that the first actuator 13020 is in its open
position. With this information, the microprocessor can maintain
the anvil 13050 in its open position. As the first actuator 13020
is rotated toward the pistol grip 13016, the detectable element
13081 can slide distally within the longitudinal slot 13091. The
potentiometer 13090 can transmit a signal, or a plurality of
signals, to the microprocessor that can indicate the position of
the first actuator 13020. In response to such a signal, or a
plurality of signals, the microprocessor can operate the closure
motor 13105 to move the anvil 13055 to a position which corresponds
to the position of the first actuator 13020. When the first
actuator 13020 is in its closed, or fully actuated, position (FIG.
109), the detectable element 13081 can be positioned at the distal
end of the longitudinal slot 13091 and the potentiometer 13090 can
transmit a signal to the microprocessor that can indicate to the
microprocessor that the first actuator 13020 is in its closed
position. With this information, the microprocessor can move the
anvil 13050 into its closed position.
When the first actuator 13020 is pulled such that it is
substantially adjacent to the pistol grip 13016 of the handle
13015, as discussed above, the closure yoke rack 13080 is moved to
its most distal position. When the closure yoke rack 13080 is in
its most distal position, a closure release button 13140 can engage
the closure yoke rack 13080 to releasably hold the closure yoke
rack 13080 in its distal most position and, as a result, releasably
hold the anvil 13050 in its closed position. Referring primarily to
FIG. 108, the closure release button 13140 can be pivotably mounted
to the handle 13015 about a pivot 13141. The closure release button
13140 can include a lock arm 13142 extending therefrom. When the
first actuator 13120 is in its unactuated position and the closure
yoke rack 13080 is in its proximal-most position, the lock arm
13142 may be positioned above and/or against a top surface of the
closure yoke rack 13080. In such a position, the closure yoke rack
13080 can slide relative to the lock arm 13142. In some
circumstances, the lock arm 13142 can be biased against the top
surface of the closure yoke rack 13080. As will be described in
greater detail further below, the instrument 13010 can further
comprise a lock 13290 configured to releasably hold the first
actuator 13020 and the second actuator 13030 in the unactuated
configuration depicted in FIG. 108. A spring 13150 can be
positioned intermediate the lock 13290 and the firing button 13140
which can rotatably bias the closure release button 13140 about the
pivot 13141 and position the lock arm 13142 against the top surface
of the closure yoke rack 13080. In various instances, the lock
13290 can include a proximal projection 13296 and the closure
release button 13140 can include a distal projection 13146 which
can be configured to hold and align the spring 13150 in position
between the lock 13290 and the closure release button 13140. When
the first actuator 13020 is rotated into its actuated position, as
illustrated in FIG. 109, the closure yoke rack 13080 can be in its
distal-most position and the lock arm 13142 can be biased into, or
drop into, a notch 13082 defined in the proximal end of the closure
yoke rack 13080. Moreover, when the first actuator 13020 is moved
into its closed, or actuated, position illustrated in FIGS. 109 and
110, the first actuator 13020 can push the lock 13290 proximally
and rotate the lock 13290 about pivot 13214. In at least one
instance, the first actuator 13020 can include an actuator
projection 13025 extending therefrom configured to engage a distal
projection 13295 extending from the lock 13290. Such movement of
the lock 13290 can compress the spring 13150 between the lock 13290
and the closure release button 13140 and increase the biasing force
applied to the closure release button 13140. Once the lock arm
13142 is engaged with the notch 13082, the closure yoke rack 13080
may not be movable, or at least substantially movable, in the
proximal direction or the distal direction.
As discussed above, the first actuator 13020 and the second
actuator 13030 can be releasably held in and/or biased into their
unactuated positions illustrated in FIG. 108. The instrument 13010
can include a return spring 13210 including a first end coupled to
the pivot 13214 and a second end coupled to a spring mount 13034
extending from the second actuator 13030. The second actuator 13030
can be rotatably mounted to the handle 13015 about the pivot 13021
and the return spring 13210 can apply a biasing force to the second
actuator 13030 to rotate the second actuator 13030 about the pivot
13021. The lock 13290 can stop the rotation of the second actuator
13030 about the pivot 13021. More specifically, the spring 13150,
which acts to bias the closure return button 13140 into engagement
with the closure yoke rack 13080, can also act to push the lock
13290 distally such that a lock arm 13292 of the lock 13290 is
positioned behind a shoulder 13032 defined on the second actuator
13030 which can limit the rotation of the second actuator 13030 and
hold the second actuator 13030 in its unactuated position as
illustrated in FIG. 108. Referring primarily to FIG. 110, the
second actuator 13030 can comprise a shoulder 13031 which can be
configured to abut the gear portion 13070 of the first actuator
13020 and bias the first actuator 13020 into its unactuated
position (FIG. 108). When the first actuator 13020 is rotated
toward its actuated position (FIG. 109), the first actuator 13020
can at least partially rotate the second actuator 13030 toward the
pistol grip 13016 against the biasing force supplied by the spring
13210. In fact, the actuation of the first actuator 13020 can make
the second actuator 13030 accessible to the user of the surgical
instrument 13010. Prior to the actuation of the first actuator
13020, the second actuator 13030 may be inaccessible to the user.
In any event, the reader will recall that the actuation of the
first actuator 13020 pushes the lock 13295 proximally. Such
proximal movement of the lock 13295 can displace the lock 13295
from behind the shoulder 13032 defined on the second actuator
13030.
Once the first actuator 13020 has been moved and locked into its
fully actuated position (FIG. 109) and the anvil 13050 has been
moved into its closed position, as discussed above, the instrument
13010 can be used to staple the tissue positioned intermediate the
anvil 13050 and the staple cartridge 13055. In the event that the
user is unsatisfied with the position of the tissue between the
anvil 13050 and the staple cartridge 13055, the user can unlock the
anvil 13050 by depressing the closure release button 13140. When
the closure release button 13140 is depressed, the lock arm 13142
of the closure release button 13140 can be pivoted upwardly out of
the notch 13082 which can permit the closure yoke rack 13080 to
move proximally. Moreover, the return spring 13210 can return the
first actuator 13120 and the second actuator 13130 to their
unactuated positions illustrated in FIG. 109 and, owing to the
meshed engagement between the gear portion 13070 and the closure
yoke rack 13080, the return spring 13210 can return the closure
yoke rack 13080 back into its proximal position. Such movement of
the closure yoke rack 13080 can be detected by the slide
potentiometer 13090 which can transmit a signal to the
microprocessor of the instrument 13010 that the first actuator
13020 has been returned to its unactuated position and that the
anvil 13050 should be returned to its open position. In response
thereto, the microprocessor can instruct the closure motor 13105 to
rotate in its second direction to drive the closure nut of the
closing system proximally and retract the closure tube 13125
proximally which will return the anvil 13050 back to its open
position. The user can then reposition the anvil 13050 and the
staple cartridge 13055 and re-close the anvil 13050 by actuating
the first actuator 13020 once again. In various instances, the
microprocessor of the instrument 13010 can be configured to ignore
input signals from the second actuator 13030 until the
potentiometer 13090 detects that the anvil 13050 is in a closed, or
a sufficiently closed, position.
Once the user is satisfied with the position of the anvil 13050 and
the staple cartridge 13055, further to the above, the user can pull
the second actuator 13030 to a closed, or actuated, position such
that it is in close proximity to the first actuator 13020. The
actuation of the second actuator 13030 can depress or close a
firing switch 13180 in the handle 13015. In various instances, the
firing switch 13180 can be supported by a motor mount 13102 which
can also be configured to support the closure motor 13105 and/or a
firing motor 13100. The closure of the firing switch 13180 can
operate the firing motor 13100. In certain instances, the firing
switch 13180 can be in signal communication with the microprocessor
of the surgical instrument 13010. When the microprocessor receives
a signal from the firing switch 13180 that the second actuator
13030 has been sufficiently actuated, the microprocessor can supply
power to the firing motor 13100. In various embodiments, the
closure of the firing switch 13180 can connect the firing motor
13100 directly to a DC or AC power source to operate the firing
motor 13100. In at least one instance, the firing switch 13180 can
be arranged such that the firing switch 13180 is not closed until
the second actuator 13030 has reached its fully closed position.
Referring primarily to FIG. 110, the rotation of the second
actuator 13030 can be stopped in its fully closed position when it
comes into contact with the first actuator 13020. In at least one
such instance, the first actuator 13020 can comprise a stop
depression 13023 configured to receive a stop projection 13033
extending from the second actuator 13030 when the second actuator
13030 reaches its closed position.
The firing motor 13100 can include a rotatable output shaft which
is operably engaged with a firing lead screw 13190 of the firing
system. When the firing motor 13100 is operated to rotate its
output shaft in a first direction, the output shaft can rotate the
firing lead screw 13190 in the first direction. When the firing
motor 13100 is operated to rotate its output shaft in a second, or
opposite, direction, the output shaft can rotate the firing lead
screw 13190 in the second direction. The firing system can further
comprise a firing nut which is threadably engaged with a threaded
portion of the firing lead screw 13190. The firing nut can be
constrained from rotating with the firing lead screw 13190 such
that the rotation of the firing lead screw 13190 can translate the
firing nut proximally or distally depending on the direction in
which the firing lead screw 13190 is rotated. The firing system can
further comprise a firing shaft 13220 operatively connected to the
firing nut which can be displaced with the firing nut. The firing
system can also comprise a knife bar 13200 and staple deploying
firing bands which extend distally from the firing shaft 13220.
When the firing motor 13020 is rotated in its first direction, the
firing lead screw 13190 can displace the firing nut, the firing
shaft 13220, the knife bar 13200, and the firing bands distally to
eject the staples from the staple cartridge 13055 and incise the
tissue positioned intermediate the anvil 13050 and the staple
cartridge 13055. Once the knife 13200 and the firing bands reach
their end of travel, the microprocessor can rotate the firing motor
13100 in its second, or opposite, direction to bring the knife
13200 and the bands back to their original position. In various
instances, the instrument 13010 can include an end of travel sensor
in signal communication with the microprocessor which can signal to
the microprocessor that the firing drive has reached the end of its
firing stroke and that the firing stroke should be retracted. Such
an end of travel sensor can be positioned in the anvil 13050 and/or
the staple cartridge 13055, for example. In certain instances, an
encoder operably coupled to the firing motor 13100 can determine
that the firing motor 13100 has been rotated a sufficient number of
rotations for the knife 13200 and firing bands to reach their end
of travel and signal to the microprocessor that the firing system
should be retracted.
Once the second actuator 13030 has been actuated, however, the
instrument 13010 is in its firing state and the microprocessor can
be configured to ignore any inputs from the first actuator 13020
and/or the slide potentiometer 13090 until the firing system has
been returned it to its original position. In various instances,
the instrument 13010 can include an abort button which, when
depressed, can signal to the microprocessor that the firing
assembly should be immediately retracted. In at least one such
instance, the firing sequence can be halted when the closure
release button 13140 is depressed. As discussed above, pressing the
closure release button 13140 moves the closure yoke rack 13080
proximally which, in turn, moves the detectable element 13081
proximally. The proximal movement of the detectable element 13081
can be detected by the slide potentiometer 13090 which can signal
to the microprocessor to reverse the rotation of the firing motor
13100 to retract the firing assembly and/or operate the closure
motor 13105 to open the anvil 13050.
The instrument 13010 can also include one or more indicators, such
as LED 13300, for example, which can be configured to indicate the
operating state of the instrument 13010. In various instances, the
LED 13300 can operate in a manner similar to that of LED 11100, for
example. The instrument 13010 also incorporates the ability to
articulate the end effector 13012. This is done through the
articulation knob 13240 as discussed in U.S. Pat. No. 5,704,534.
Manual rotation of the shaft assembly 13040 is also discussed in
U.S. Pat. No. 5,704,534.
In a modular concept of the instrument 13010, the shaft assembly
13040 and the end effector 13012 could be disposable, and attached
to a reusable handle 13015. In another embodiment, the anvil 13050
and the staple cartridge 13055 are disposable and the shaft
assembly 13040 and the handle 13015 are reusable. In various
embodiments, the end effector 13012, including the anvil 13015, the
shaft assembly 13040, and the handle 13015 may be reusable and the
staple cartridge 13055 may be replaceable.
FIG. 111 is a perspective view of a surgical stapling instrument
14010. The instrument 14010 can comprise an actuator, or handle,
14020, a shaft portion 14030, a tubular cartridge casing 14040, and
an anvil 14050. The instrument 14010 can further include a closure
system configured to move the anvil 14050 between an open position
and a closed position. The actuator 14020 can comprise a rotating
closure knob 14075 which can operate the closure system as
described in greater detail further below. The instrument 14010 can
further include a firing system configured to eject staples which
are removably stored in the cartridge casing 14040. The actuator
14020 can further comprise a firing activation trigger 14070 which
can operate the firing system as described in greater detail
further below. Shaft portion 14030, cartridge casing 14040, and
anvil 14050 can operate in a manner similar to that shown and
discussed in U.S. Pat. No. 5,292,053, entitled SURGICAL ANASTOMOSIS
STAPLING INSTRUMENT, which issued on Mar. 8, 1994. The disclosure
of U.S. Pat. No. 5,292,053, entitled SURGICAL ANASTOMOSIS STAPLING
INSTRUMENT, which issued on Mar. 8, 1994, is incorporated herein by
reference in its entirety.
Further to the above, the actuator 14020 can include a transmission
14000 and a slider button 14060 configured to operate the
transmission 14000. The slider button 14060 is movable between a
distal position (FIG. 115), which is closer to the cartridge casing
14040, and a proximal position (FIG. 114), which is further away
from the cartridge casing 14040. When the slider button 14060 is in
its proximal position, the actuator 14020 is in a first operating
mode, or closure mode, and can move the anvil 14050 toward and away
from the cartridge casing 14040. When the slider button 14060 is in
its distal position, the actuator 14020 is in a second operating
mode, or firing mode, and can eject staples from the cartridge
casing 14040 toward the anvil 14050. When the actuator 14020 is in
its closure mode, the rotating closure knob 14075 can be rotated
about a longitudinal axis extending through the actuator 14020 in
order to move the anvil 14050 proximally or distally depending on
the direction in which the closure knob 14075 is rotated. When the
actuator 14020 is in its firing mode, the firing activation trigger
14070 can be rotated proximally to eject the staples from the
cartridge casing 14040. The closure system and the firing system
are discussed in greater detail further below.
The actuator 14020 can comprise an electric motor, such as motor
14090 (FIGS. 113-115), for example, which can operate the closure
drive and the firing drive via the transmission 14000. The motor
14090 can be supported within an actuator housing 14080 of the
actuator 14020. Referring primarily to FIG. 113, the actuator
housing 14080 can comprise two halves, an actuator housing right
half 14080a and an actuator housing left half 14080b. Actuator
housing halves 14080a and 14080b can be held together by screws,
although any suitable fastening and/or adhesive methods could be
used to assemble actuator housing 14080. The motor 14090 can be
supported between the actuator housing halves 14080a and 14080b and
can include a rotatable shaft 14100 extending distally therefrom.
In certain instances, the actuator 14020 can comprise a motor
support 14101 positioned in the housing 14080 configured to support
the housing of the motor 14100 and constrain the motor housing from
rotating relative to the actuator housing 14080. In various
instances, the rotatable shaft 14100 can comprise an extender
portion 14110 affixed thereto. The shaft 14100 and the extender
portion 14110 can be rotatably coupled such that they rotate
together.
Further to the above, referring primarily to FIG. 116, the extender
portion 14110 can comprise a cylindrical, or an at least
substantially cylindrical, body 14111 and a flat portion 14120
defined in a distal end 14113 of the extender portion 14110. The
cylindrical body 14111 of the extender portion 14110 can be
rotatably supported within the actuator housing 14080 by a bearing
14105. The distal end 14113 of the extender portion 14110 can be
positioned within a slider aperture 14114 defined in a slider
14115. The slider 14115, as will be discussed in greater detail
further below, is part of the transmission 14000 and can be shifted
between a proximal position (FIG. 114) in which the slider 14115
transmits the rotary motion of the motor 14090 to the closure
system and a distal position (FIG. 115) in which the slider 14115
transmits the rotary motion of the motor 14090 to the firing
system. When the slider 14115 is shifted between its proximal
position (FIG. 114) and its distal position (FIG. 115), the slider
14115 can slide relative to the extender portion 14110. The slider
aperture 14114 defined in the slider 14115 can define a perimeter
which matches, or at least substantially matches, the perimeter of
the distal end 14113 of the extender portion 14110 such that, one,
the extender portion 14110 and the slider 14115 are rotationally
coupled together and, two, the slider 14115 can translate relative
to the extender portion 14110. In at least one instance, the slider
aperture 14114 comprises a cylindrical portion 14116 which matches
the cylindrical body 14111 of the extender portion 14110 and a flat
portion 14117 which matches the flat portion 14120 defined in the
distal end 14113 of the slider 14115.
Further to the above, the slider 14115 can comprise a tubular, or a
generally tubular, structure. The slider 14115 can comprise a
distal end 14118 and a plurality of outer circumferential splines
14130 extending around an outer surface of the distal end 14118
which can be operably engaged with the firing drive, as illustrated
in FIG. 115. The slider 14115 can further comprise a plurality of
internal circumferential splines 14140 defined in the distal end of
the slider aperture 14114 which can be operably engaged with the
closure drive, as illustrated in FIG. 114. The slider 14115 can be
part of a slider assembly 14150. Referring primarily to FIG. 116,
the slider assembly 14150 can further comprise an upper journal
bearing 14160, a lower journal bearing 14170, the slider button
14060, and a slider spring 14180. The upper journal bearing 14160
and the lower journal bearing 14170 combine to form a journal
bearing which can, one, support the slider 14115 loosely enough so
that the slider 14115 may rotate within the journal bearing and,
two, displace the slider 14115 proximally and distally. Referring
primarily to FIG. 116, the slider 14115 can comprise a distal
flange 14121 and a proximal flange 14122 extending therefrom which
can define a recess 14123 therebetween which is configured to
closely receive the journal bearing. When the slider button 14060
is pushed distally, the journal bearing can bear against the distal
flange 14121 to push the slider 14115 distally. Correspondingly,
when the slider button 14060 is pushed proximally, the journal
bearing can bear against the proximal flange 14122 to push the
slider 14115 proximally.
The slider assembly 14150 can comprise a lock configured to
releasably hold the slider 14115 in position. Referring primarily
to FIG. 116, the slider button 14060 can comprise a flange 14181
that can selectively fit into a first depression defined at a
first, or proximal, end of a longitudinal slot defined in the
actuator housing 14080 and a second depression defined at a second,
or distal, end of the longitudinal slot. When the flange 14181 is
engaged with the proximal depression, the flange 14181 can hold the
slider assembly 14150 in its proximal position which operably
engages the slider 14115 and the closure drive with the motor
14090. When the flange 14181 is engaged with the distal depression,
the flange 14181 can hold the slider assembly 14150 in its distal
position which operably engages the slider 14115 and the firing
drive with the motor 14090. The upper journal bearing 14160 can
include a journal aperture 14161 configured to slidably receive a
shaft 14061 of the button 14060. The button 14060 can be pushed
downwardly within the journal aperture 14161 to disengage the
flange 14181 from the actuator housing 14080. Once the flange 14181
has been disengaged from the actuator housing 14080, the button
14060 can be slid within the longitudinal slot defined in the
actuator housing 14080 to move the slider 14115 between its
proximal and distal positions. The spring 14180 can be configured
to bias the flange 14181 toward the actuator housing 14080 and,
when the user of the surgical instrument 14010 releases the button
14060, the spring 14180 can bias the button 14060 upwardly into
engagement with the actuator housing 14080 once again.
When the slider assembly 14150 is in its proximal position, further
to the above, the slider 14115 is engaged with a closing nut 14190
of the closure drive. The closing nut 14190 comprises an elongate
tubular structure including closing nut external splines 14200
defined at the proximal end thereof. When the slider 14115 is in
its proximal position, the internal splines 14140 of the slider
14115 are meshingly engaged with the external splines 14200 of the
closing nut 14190 such that, when the slider 14115 is rotated by
the motor 14090, the closing nut 14190 is rotated by the slider
14115. The closing nut 14190 can be rotatably supported within the
actuator housing 14080 by one or more bearings, such as bushing
14220, for example, which rotatably supports the distal end of the
closing nut 14190. The closing nut bushing 14220 may be comprised
of Delrin, Nylon, copper, brass, bronze, and/or carbon, for
example. In certain instances, the closing nut bushing 14220 can
comprise a ball bearing or roller bearing, for example. In various
instances, the closing nut bushing 14220 may be an integral portion
of the actuator housing 14080.
The closing nut 14190 can comprise a longitudinal aperture 14191
defined therein. The closure system can further comprise a closing
rod 14230 which can be at least partially positioned within the
longitudinal aperture 14191. The closing rod 14230 can comprise a
thread 14231 defined thereon which is threadably engaged with a
closing nut thread 14210 defined in the longitudinal aperture
14191. The closing rod 14230 can be constrained from rotating with
the closing nut 14190 such that, when the closing nut 14190 is
rotated in a first direction by the motor 14090, the closing rod
14230 can be translated proximally by the closing nut 14190. As
illustrated in FIG. 115, the closing rod 14230 can move proximally
within the longitudinal aperture 14191 of the closing nut 14190.
Similarly, when the closing nut 14190 is rotated in an opposite, or
second, direction by the motor 14090, the closing rod 14230 can be
translated distally by the closing nut 14190. As will be described
in greater detail further below, the closing rod 14230 can be
operably engaged with the anvil 14050 such that, when the closing
rod 14230 is pulled proximally, the anvil 14050 can be moved toward
the cartridge casing 14040. Correspondingly, when the closing rod
14230 is pushed distally, the anvil 14050 can be moved away from
the cartridge casing 14040. In various instances, a closure stroke
length of the closure system can be measured between the open
position and the closed position of the anvil 14050. The closing
rod 14230 can be at least as long as the closure stroke length to
accommodate the same.
As discussed above, the button 14060 of the actuator 14020 is
movable between a proximal position (FIG. 114) in which the
transmission 14000 is engaged with the closure drive and a distal
position (FIG. 115) in which the transmission 14000 is engaged with
the firing drive. In this way, the transmission 14000 can be used
to selectively couple the closure drive and the firing drive with
the motor 14090. When the user of the surgical instrument 14010 is
satisfied with the position of the anvil 14050 relative to the
cartridge casing 14040, the user can displace the button 14060
distally, as illustrated in FIG. 115, to disengage the slider 14115
from the closing drive and engage the slider 14115 with the firing
drive. When the slider 14115 is slid distally, the internal splines
14140 of the slider 14115 are disengaged from the external splines
14200 of the closing nut 14190 such that the subsequent rotation of
the slider 14115 is no longer transmitted to the closing nut 14190
and the closure system. Concurrent with the disengagement of the
slider from the closure system, the slider 14115 can become engaged
with the firing system. Alternatively, the slider 14115 can become
disengaged from the closure system as the slider 14115 is displaced
distally and, owing to additional distal displacement of the slider
14115, the slider 14115 can become engaged with the firing system.
In such circumstances, the transmission 14000 may not operably
engage the closure drive and the firing drive with the motor 14090
at the same time. In any event, the firing system can include a
firing nut 14260 which can be engaged by the slider 14115 when the
slider 14115 is moved distally.
Further to the above, referring primarily to FIG. 116, the firing
nut 14260 can include an aperture 14261 defined therein which can
be configured to receive the distal end 14118 of the slider 14115
therein when the slider 14115 is advanced into its distal position
(FIG. 115). The firing nut aperture 14261 can include firing nut
splines 14270 defined around an inner circumference thereof which
can intermesh with the outer circumferential splines 14130 of the
slider 14115. When the outer circumferential splines 14130 of the
slider 14115 are engaged with the firing nut splines 14270 of the
firing nut 14260, the slider 14115 can be rotatably coupled with
the firing nut 14260 such that the rotation of the slider 14115 is
transmitted to the firing nut 14260. The actuator 14020 can further
comprise a firing nut bushing 14275 that rotatably supports the
firing nut 14260. The firing nut bushing 14275 may comprise a
needle bearing, a Delrin, Nylon, and/or other plastic bushing, a
metal bushing, or an integral part of the actuator housing 14080,
for example. The firing nut 14260 can further comprise internal
threads 14272 defined in a distal interior surface of the firing
nut aperture 14261. The firing system can further comprise a firing
tube 14280 threadably engaged with the internal threads 14272 of
the firing nut 14260.
In various instances, further to the above, the firing tube 14280
can include a thread 14281 defined on an outer surface thereof
which is threadably engaged with the internal threads 14272. The
firing tube 14280 can be constrained from rotating with the firing
nut 14260 such that, when the firing nut 14260 is rotated by the
motor 14090 and the slider 14115, the firing nut 14260 can
translate the firing tube 14280. For instance, when the firing nut
14260 is rotated in a first direction, the firing tube 14280 can be
displaced distally by the firing nut 14260 and, when the firing nut
14260 is rotated in a second, or opposite, direction, the firing
tube 14280 can be displaced proximally by the firing nut 14260. At
least a portion of the firing tube 14280 can be positioned within
the aperture 14261 defined in the firing nut 14260. When the firing
tube 14280 is displaced proximally, the firing tube 14280 can move
proximally within the aperture 14261. When the firing tube 14280 is
displaced distally, the firing tube 14280 can move distally within
the aperture 14261. As will be described in greater detail below,
the firing tube 14280 can be operably connected with a firing
member which can eject the staples from the cartridge housing 14040
when the firing tube 14280 is advanced distally. The firing tube
14280 can retract the firing member when the firing tube 14280 is
moved proximally. The firing tube 14280 can be long enough to
accommodate the firing stroke of the firing member when the firing
member is moved between an unfired position and a fired position.
In various instances, the threaded portion of the firing tube 14280
is shorter than the threaded portion of the closure rod 14230. In
such circumstances, the firing stroke can be shorter than the
closure stroke. In other instances, the threaded portion of the
firing tube 14280 can be the same length as the threaded portion of
the closure rod 14230. In such instances, the firing stroke can be
the same length as the closure stroke. In certain instances, the
threaded portion of the firing tube 14280 is longer than the
threaded portion of the closure rod 14230. In such circumstances,
the firing stroke can be longer than the closure stroke.
Further to the above, the actuator 14020 and the shaft portion
14030 can comprise an integral system. In various instances, the
actuator 14020 and the shaft portion 14030 can comprise a unitary
assembly. In certain instances, the actuator 14020 can be
disassembled from the shaft portion 14030. FIG. 34 is a perspective
view of the surgical stapling instrument 14010 depicting the
actuator 14020 disassembled from the shaft portion 14030. The
instrument 14010 can comprise one or more locks or latches
configured to releasably hold the shaft portion 14030 to the
actuator 14020. For instance, the actuator 14020 can include
latches 14025 on opposite sides thereof which are configured to
releasably hold the shaft portion 14030 to the actuator 14020. The
latches 14025 can be slid between a first position in which they
are engaged with the shaft portion 14030 and a second position in
which they have been disengaged from the shaft portion 14030. As
described in greater detail below, the actuator 14020 and the shaft
portion 14030 can comprise portions of the closure system which are
operably assembled together when the shaft portion 14030 is
assembled to the actuator 14020. Similarly, the actuator 14020 and
the shaft portion 14030 can comprise portions of the firing system
which are operably assembled together when the shaft portion 14030
is assembled to the actuator 14020.
Further to the above, referring primarily to FIG. 113, the closure
system can further comprise a closing fixture piece 14240 affixed
to the distal end of the closing rod 14230. In various instances, a
screw can lock the closing fixture piece 14240 to the closing rod
14230 such that the closing fixture piece 14240 is translated
distally when the closing rod 14230 is translated distally and,
correspondingly, translated proximally when the closing rod 14230
is translated proximally. The closing fixture piece 14240 can
comprise one or more lateral extensions that can fit into grooves
in the actuator housing 14080 to align the closing fixture piece
14240 and the closing rod 14230. The lateral extensions can also
prevent the closing rod 14230 and the closing fixture piece 14240
from rotating when the closing rod 14230 is driven by the closing
nut 14190, as discussed above. The closing fixture piece 14240 may
comprise a closing drive output of the actuator 14020 and can be
attached to a closure drive input of the shaft portion 14030. The
closure drive input of the shaft portion 14030 can comprise a
second fixture piece 14250 which can be attached to the closing
fixture piece 14240 when the shaft portion 14030 is assembled to
the actuator 14020. The closing fixture piece 14240 can push the
second fixture piece 14250 distally when the closing fixture piece
14240 is advanced distally by the closing rod 14230;
correspondingly, the closing fixture piece 14240 can pull the
second fixture piece 14250 proximally when the closing fixture
piece 14240 is retracted proximally by the closing rod 14230.
The closing drive portion of the shaft portion 14030 can further
comprise one or more tension bands 14252 and 14253 mounted to and
extending from the second fixture piece 14250. The tension bands
14252 and 14253 can be fastened to the second fixture piece 14250
such that the second fixture piece 14250 can push the tension bands
14252, 14253 distally when the second fixture piece 14250 is
advanced distally by the closing fixture piece 14240 and,
correspondingly, such that the second fixture piece 14250 can pull
the tension bands 14252, 14253 proximally when the second fixture
piece 14250 is retracted proximally by the closing fixture piece
14240. In various instances, the shaft portion 14030 can be curved
and, in at least one instance, can include a curved shaft housing
14031 extending from a proximal housing mount 14032. In certain
instances, the tension bands 14252 and 14253 can be flexible to
accommodate a curved path of the closing drive portion of the shaft
portion 14030. The closing drive portion of the shaft portion 14030
can further comprise an attachment portion, or trocar, 14258
attached to the tension bands 14253 and 14253. The trocar 14258 can
be fastened to the tension bands 14252, 14253 such that the trocar
14258 is advanced and retracted with the tension bands 14252,
14253. The trocar 14258 can comprise a distal end which can be
releasably engaged with the anvil 14050 such that the anvil 14050
is advanced and retracted with the trocar 14258 when the anvil
14050 is assembled to the trocar 14258. U.S. Pat. No. 5,292,503,
referenced above, discusses this in greater detail.
Further to the above, referring primarily to FIG. 113, the firing
system can further comprise a firing fixture piece 14290 affixed to
a distal end of the firing tube 14280. In various instances, a
screw can lock the firing fixture piece 14290 to the firing tube
14280 such that the firing fixture piece 14290 is translated
distally when the firing tube 14280 is translated distally and,
correspondingly, translated proximally when the firing tube 14280
is translated proximally. The firing fixture piece 14290 can
comprise one or more lateral extensions that can fit into grooves
in the actuator housing 14080 to align the firing fixture piece
14290 and the firing tube 14280. The lateral extensions can also
prevent the firing tube 14280 and the firing fixture piece 14290
from rotating when the firing tube 14280 is driven by the firing
nut 14260, as discussed above. The firing fixture piece 14290 may
comprise a firing drive output of the actuator 14020 and can be
attached to a firing drive input of the shaft portion 14030. The
firing drive input of the shaft portion 14030 can comprise a second
fixture piece 14300 which can be attached to the firing fixture
piece 14290 when the shaft portion 14030 is assembled to the
actuator 14020. The firing fixture piece 14290 can mate in a
tongue-in-groove manner with the secondary firing fixture piece
14300. When assembled, the firing fixture piece 14290 can push the
second fixture piece 14300 distally when the firing fixture piece
14290 is advanced distally by the firing tube 14280;
correspondingly, the firing fixture piece 14290 can pull the second
fixture piece 14300 proximally when the firing fixture piece 14290
is retracted proximally by the firing tube 14280.
The firing drive can further comprise a staple driver 14310 coupled
to the second fixture piece 14300 such that the staple driver 14310
moves proximally and distally with the second fixture piece 14300.
When the staple driver 14310 is moved distally by the second
fixture piece 14300, the staple driver 14310 can eject the staples
from the cartridge housing 14040. In various instances, the second
fixture piece 14300 can advance a knife 14320 distally with the
staple driver 14310 to incise tissue captured between the anvil
14050 and the cartridge housing 14040. The second fixture piece
14300 can retract the staple driver 14310 and the knife 14320
proximally when the second fixture piece 14300 is retracted
proximally by the firing fixture piece 14290.
Further to the above, it can be noted that portions of the closing
system comprising the closing nut 14190 and the closing rod 14230
and portions of the firing system comprising the firing nut 14260
and the firing tube 14280 can be concentric and nested. The firing
nut 14260 and the firing tube 14280 may be considered an outer
mechanism while the closing nut 14190 and the closing rod 14 230
may be considered an inner mechanism. Together with the slider
14115, the closing nut 14190, the closing rod 14230, the firing nut
14260, and the firing tube 14280 can comprise the transmission
14000. The concentric and nested arrangement of the transmission
14000 can reduce the space required by the closing and firing
systems in order to create a smaller and more easily held actuator
14020. This arrangement also allows the outer mechanism to serve as
support and provide bearing surfaces for moving parts of the inner
mechanism. In the embodiment shown, the translation members of the
inner mechanism are shown longer than the translation members of
the outer mechanism. The closing rod 14230 may be, for example, of
the order of two inches while the firing tube 14280 is of the order
of one inch, for example; however, any suitable lengths can be
used. Longer translation members are useful when longer translation
distances are needed. In the embodiment shown, the inner mechanism,
or closure drive, can drive a load a longer distance than the outer
mechanism, or firing drive. That said, the firing drive could drive
a load a longer distance than the firing drive.
As discussed above, the actuator 14020 and the shaft portion 14030
are designed for easy assembly. The firing fixture piece 14290
comprises a semi-circular lip at the end of a distally extending
flange. This semi-circular lip fits into a semi-circular groove at
a proximal end of the second firing fixture piece 14300. Because
the fit is about a semicircular surface, it is possible to connect
firing fixture piece 14290 with the second firing fixture piece
14300 by translating the firing fixture piece 14290 toward the
second firing fixture piece 14300 in a direction transverse or
orthogonal to a general longitudinal axis of the pieces. Connection
of the closure assembly pieces is also facilitated generally in the
same manner. For instance, the closing fixture piece 14240 can
comprise a distally extending flange. At a distal end of this
flange is a semi-circular lip extending from a substantially
semi-cylindrical portion of the closing fixture piece 14240. A
circumferential groove on a proximal portion of the second fixture
piece 14250 receives this semi-circular lip to attach the closing
fixture piece 14240 to the second fixture piece 14250. Because of
the semi-circular nature of closing fixture piece 14240, the
closing fixture piece 14240 and the second fixture piece 14250 may
be assembled and disassembled by translation transverse or
orthogonal to the general longitudinal axis of the pieces, thus
facilitating quick connection and disconnection of the shaft
portion 14030 and the actuator 14020.
Referring generally to FIG. 113, the firing trigger 14070 and the
closing knob 14075 are further displayed in exploded view to better
see their interaction with adjacent parts. The closing knob 14075
is rotatable in a first, or clockwise, direction and a second, or
counterclockwise, direction. When the closing knob 14075 is rotated
in the first direction, the closing knob 14075 can contact and
close a first switch and, when the closing knob 14075 is rotated in
the second direction, the closing knob 14075 can contact and close
a second switch. When the first switch is closed by the closing
knob 14075, the motor 14090 can be energized and operated in a
first direction and, when the second switch is closed by the
closing knob, the motor 14090 can be energized and operated in a
second direction. When the motor 14090 is operated in its first
direction, the motor 14090 can drive the closing rod 14230 distally
to move the anvil 14050 away from the cartridge casing 14040 and,
when the motor 14090 is operated in its second direction, the motor
14090 can drive the closing rod 14230 proximally to move the anvil
14050 toward the cartridge casing 14040. The closing knob 14075 can
be positionable in a center, or neutral, position in which neither
the first switch nor the second switch are closed and the motor
14090 is not responsive to the closing knob 14075. In various
instances, the instrument 14010 can comprise at least one spring,
such as spring 14076, for example, configured to bias the closing
knob 14075 into its neutral position, for example.
Turning now to the firing trigger 14070, the firing trigger 14070
is rotatably pinned to the actuator housing 14080 and is
spring-loaded by a torsion spring 14071 that forces the firing
trigger 14070 to a position which is rotated away from the actuator
housing 14080. A firing switch 14305 located near the firing
trigger 14070 is in a position to be contacted by the firing
trigger 14070 when the firing trigger 14070 is rotated toward the
actuator housing 14080 against the biasing force of the torsion
spring 14071. The firing trigger 14070 can close the firing switch
14305 when the firing trigger 14070 is actuated. When the firing
switch 14305 is closed, the motor 14090 can be operated in a first
direction to advance the firing tube 14280 and the staple driver
14310 distally. When the firing trigger 14070 is released, the
torsion spring 14071 can move the firing trigger 14070 back to its
unactuated position and out of contact with the firing switch
14305. At such point, the firing switch 14305 may be in an open
condition and the motor 14090 may not be responsive to the firing
trigger 14070. In various instances, the instrument 14010 can
further comprise a safety latch 14320 rotatably pinned to the
actuator housing 14080 which is rotatable between a locked position
which blocks the firing trigger 14070 from being actuated and a
second position in which the firing trigger 14070 can be actuated
to close the firing switch 14035. In any event, the motor 14090 can
be operated in a second direction to retract the firing tube 14280
and the staple driver 14310. In certain instances, the motor 14090
can be switched between the first direction and the second
direction when the firing system has reached the end of its firing
stroke. In some instances, the actuator 14020 can further comprise
a reversing button and switch which can be operated to operate the
motor 14090 in its second direction.
In view of the above, a method of using the instrument 14010 is
provided below, although any suitable method could be used.
Moreover, it has been described above that the actuator 14020 is
capable of providing two outputs and the shaft portion 14030 is
capable of receiving two inputs to perform two functions. Such
functions have been described as closing functions and firing
functions, but the invention is not so limited. The functions could
include any suitable functions, such as an articulation function,
for example. To use the actuator 14020, in various instances, a
user can first assemble the actuator 14020 to the shaft portion
14030 by moving the actuator 14020 toward the shaft portion 14030
perpendicular to the longitudinal axis of the actuator 14020, as
seen in FIG. 112. The user can align the open side of the proximal
end of the shaft portion 14030 toward the open side of the distal
portion of the actuator 14020 and assemble the pieces together.
Such assembly can connect the closing and firing fixture pieces as
discussed above. As also discussed above, the latches 14025 on the
actuator 14020 can grip ledges on the shaft portion housing 14032
to releasably hold the actuator 14020 and the shaft portion 14030
together. After assembling the actuator 14020 and the shaft portion
14030, a user can place the slider assembly 14150 in its first
position to use the first desired function of the surgical tool of
the attached portion. As discussed above, the button 14060 can be
utilized to position the slider assembly 14150 in its first
portion.
Referring generally to FIG. 114, the inner splines 14140 on the
slider 14115 can engage the external splines 14200 on the closing
nut 14190 when the slider assembly 14150 is in its first position.
The user would then rotate closing knob 14075 to position the anvil
14050 relative to the cartridge housing 14040. As discussed above,
the closing knob 14075 can be rotated in its first direction to
close the first closure switch and move the anvil 14050 away from
the cartridge housing 14040 and its second direction to close the
second closure switch and move the anvil 14050 toward the cartridge
housing 14040. In certain instances, the closure of the first
closure switch can close a circuit which operates the motor 14090
in its first direction and, correspondingly, the closure of the
second closure switch can close a circuit which operates the motor
14090 in its second direction. In certain instances, the first
closure switch and the second closure switch can be in
communication with a microprocessor of the surgical instrument
14010 which can control the electrical power supplied, including
the polarity of the electrical power supplied, to the motor 14090
based on the input from the first closure switch and the second
closure switch. As discussed above, the motor 14090 can rotate the
rotatable shaft 14100, the extender portion 14110, the slider
14115, and owing to the configuration of the transmission 14000,
the closing nut 14190. As discussed above, the closing nut 14190 is
threadably engaged with the closing rod 14230 which displaces the
anvil 14050 proximally and distally. Alternatively, the closing rod
14230 could perform some other function.
When the slider assembly 14150 is in its first, or proximal,
position, as illustrated in FIG. 114, the motor 14090 may be
responsive to the closing knob 14075 and not the firing trigger
14070. In at least one instance, the lower journal bearing 14170 of
the slider assembly 14150 can contact and close a first
transmission switch 14340 when the slider assembly 14150 is in its
first position. In various instances, the first transmission switch
14340 can be in communication with the microprocessor of the
surgical instrument 14010 which can be configured to ignore input
from the firing switch 14305 when the first transmission switch
14340 has been closed. In such circumstances, the user of the
surgical instrument 14010 may depress the firing trigger 14070 and
the motor 14090 will not be responsive thereto. Rather, in such
circumstances, the motor 14090 is responsive to the first and
second closure switches which are actuated by the closing knob
14075 to move the anvil 14050. When the slider assembly 14150 is
moved toward its second, or distal, position, as illustrated in
FIG. 115, the lower journal bearing 14170 is disengaged from the
first transmission switch 14340 and the first transmission switch
14340 will return to an open condition. When the slider assembly
14150 is moved into its second, or distal, position, the lower
journal bearing 14170 can contact and close a second transmission
switch 14350. In various instances, the second transmission switch
14350 can be in communication with the microprocessor of the
surgical instrument 14010 which can be configured to ignore input
from the closure knob 14075 when the second transmission switch
14350 has been closed. In such circumstances, the user of the
surgical instrument 14010 may rotate the closing knob 14075 and the
motor 14090 will not be responsive thereto. Rather, in such
circumstances, the motor 14090 is responsive to the firing switch
14305 which is actuated by the firing trigger 14070.
In order to move the slider assembly 14150 from its first position
to its second position, as discussed above, the user can depress
the slider button 14060 to release the slider button 14060 from its
detent and move the slider assembly 14150 distally to its second
position. In such circumstances, the slider 14115 can be disengaged
from the closing nut 14160 and engaged with the firing nut 14260.
More particularly, the inner splines 14140 on the slider 14115 can
become disengaged from the external splines 14200 on the closing
nut 14190 and, furthermore, the outer splines 14130 of the slider
14150 can become engaged with the inner splines 14270 of the firing
nut 14260. At such point, the user can rotate the safety latch
14320 to its unlocked position to ready the firing trigger 14070
for firing. The user can fire the firing system by rotating the
firing trigger 14070 counterclockwise as depicted in FIG. 115
toward actuator housing 14080. As discussed above, the firing
trigger 14070 can contact a firing switch 14305 which can
electrically energize the motor 14090. Similar to the first
configuration of the transmission 14000, the motor 14090 can rotate
the rotatable shaft 14100, the extender portion 14110, and the
slider 14115; however, in the second configuration of the
transmission 14000, the slider 14115 rotates the firing nut 14260
to translate the firing tube 14280.
In various instances, power can be supplied to the instrument 14010
by an external power source. In certain instances, one or more
batteries positioned within the actuator 14020 could be utilized.
The batteries could be, for example, lithium rechargeable
batteries. In some instances, the batteries and the motor 14090
could be positioned in a sealed, removable housing that is
cleanable, sterilizable, and reusable.
After the actuator 14020 has been used during a surgical procedure,
the user may disassemble the actuator 14020 from the shaft portion
14030. The user may depress the latches 14025 to disassemble the
actuator 14020 from the shaft portion 14030. Thereafter, the
actuator 14020 can be cleaned, sterilized, and reused or disposed
of. Similarly, the shaft portion 14030 can be cleaned, sterilized,
and reused or disposed of. When the shaft portion 14030 is reused,
staples can be reloaded into the cartridge housing 14040. In
certain instances, the cartridge housing 14040 can include a
replaceable cartridge which can be used to reload the staples. In
various instances, various portions of the actuator 14020 may also
be combined in a sealed, compartmentalized module which can be
easily inserted into and removed from the actuator housing 14080.
For example, the motor 14090, the rotatable shaft 14100, the
extender portion 14110, the slider assembly 14150, the closing nut
14190, the closing rod 14230, the firing nut 14260, and the firing
tube 14280 may be combined into a modular assembly removable from
the actuator housing 14080. Furthermore, portions of the actuator
14020 may be part of separate assembleable modules. For example,
electronic portions of the actuator 14020, such as the motor 14090
and a battery, may comprise one module, while mechanical assemblies
containing rotating and/or translating parts may comprise a second
module. In such circumstances, the first module may be sterilized
by different methods than the second module. Such circumstances can
facilitate the use of, for example, gamma radiation for the second
module which may be inappropriate for sterilizing the first
module.
Various additions to the actuator 14020 are envisioned. For
example, microprocessing may be utilized to detect the
end-of-stroke positions of the closing system and/or the firing
system and to signal the motor 14090 when to stop the closing
stroke and/or the firing stroke. Microprocessing could also be
utilized to determine the type of shaft assembly that is attached
to the actuator 14020. For instance, the actuator 14020 can include
a sensor in signal communication with the microprocessor in the
actuator 14020 that a circular stapler shaft assembly is attached
the actuator 14020 or that a linear cutter shaft assembly is
attached to the actuator 14020. It is envisioned that the actuator
14020 can power many types of surgical tools requiring at least one
and perhaps two or more longitudinal motion inputs, for example. In
various instances, the actuator 14020 can power a circular stapler,
a liner stapler, a right-angle stapler, scissors, graspers, and/or
other types of surgical instruments, for example.
Further modifications of the actuator 14020 include utilizing
multiple motors so that the number of functions employable by the
actuator 14020 can be increased. Certain modifications of the
actuator 14020 include performing more than two functions with the
same motor. For example, a third position of the slider assembly
14150 is envisioned wherein a third function is driven by a third
nested mechanism. In some instances, further to the above, the
slider assembly 14150 may have a third position which is an idler
or neutral position wherein no function is driven by the motor
14090.
Further modifications may include the use of electrical and/or
magnetic means to translate the slider 14115 from one position to
another. For example, a solenoid may be used to move the slider
14115 from one position to another. A spring may preload the slider
14115 into a default position, and energizing the solenoid may move
the slider 14115 from the default position to a second
position.
A surgical stapling instrument 15010 is illustrated in FIGS. 117
and 118. Similar to the above, the instrument 15010 can comprise a
handle, a closure system configured to move an anvil 15090 between
an open position (FIG. 117) and a closed position (FIG. 118)
relative to a staple cartridge 15080 and, in addition, a firing
system configured to deploy staples from the staple cartridge 15080
and incise tissue captured between the anvil 15090 and the staple
cartridge 15080. The housing of the surgical instrument handle has
been removed from FIGS. 117 and 118 for the purposes of
illustrating various components contained therein. Also similar to
the above, the closure system of the instrument 15010 can comprise
a closing motor 15110, a closing gear train including closure drive
screw gear 15160 operably coupled to the closing motor 15110, and a
closure drive screw 15170 operably coupled to the closure drive
screw gear 15160. In various instances, the closing motor 15110 can
be supported by a motor frame 15125 which can, in addition,
rotatably support the closure drive screw gear 15160 and the
closure drive lead screw 15170. The closure system can further
include a closure button 15065 configured to contact and close a
closure switch 15285 which, when closed, can operate the closing
motor 15110. In some instances, further to the above, the closure
button 15065 can be configured to contact a closure switch
configured to operate the closure motor 15110 in a first direction
and close the anvil 15090 and an opening switch configured to
operate the closure motor 15110 in a second direction and open the
anvil 15090.
Further to the above, the closure system can further comprise a
carriage 15180 configured to engage the anvil 15090 and move the
anvil 15090 between its open position (FIG. 117) and its closed
position (FIG. 118). The carriage 15180 can include a threaded nut
portion 15175 which is threadably engaged with a threaded portion
of the closure drive lead screw 15170. The carriage 15180 can be
constrained from rotating with the closure drive lead screw 15170
such that the rotation of the closure drive lead screw 15170 can
translate the carriage 15180 proximally and distally, depending on
the direction in which the closure drive lead screw 15170 is
rotated. When the closure drive lead screw 15170 is rotated in a
first direction by the closing motor 15110, the closure drive lead
screw 15170 can displace the carriage 15180 distally to close the
anvil 15090. Correspondingly, when the closure drive lead screw
15170 is rotated in a second, or opposite, direction, by the
closing motor 15110, the closure drive lead screw 15170 can
displace the carriage 15180 proximally to open the anvil 15090. The
carriage 15180 can be at least partially disposed around a
cartridge channel 15070 and, in various instances, can be slidably
retained to the cartridge channel 15070. Referring primarily to
FIG. 118, the cartridge channel 15070 can include one or more slots
15195 defined in opposite sides thereof which are configured to
slidably receive one or more projections 15185 extending inwardly
from the carriage 15080. In other circumstances, the channel 15070
can comprise the projections 15185 and the carriage 15080 can
comprise the slots 15195. In either event, the slots 15195 and the
projections 15185 can be configured to constrain the movement of
the carriage 15180 to a longitudinal, or substantially
longitudinal, path, for example.
The carriage 15080 is movable from a first, or proximal, position
(FIG. 117) to a second, or distal, position (FIG. 118) to close the
anvil 15090. The carriage 15080 can include a crossbar 15081 which
is configured to contact and move the anvil 15090 when the carriage
15080 is moved relative to the anvil 15090. In various instances,
the anvil 15090 can be pivotably coupled to the cartridge channel
15070 about a pivot 15200 and the anvil 15090 can be rotated about
the pivot 15200 by the carriage crossbar 15081. More specifically,
the carriage crossbar 15181 can be configured to contact a top, or
cam, surface 15092 of the anvil 15090 and slide across the top
surface 15092 as the carriage 15080 is moved distally to rotate the
anvil 15090 toward the cartridge 15080 positioned in the cartridge
channel 15070. In some instances, the distal end 15091 of the anvil
15090 can contact the distal end 15081 of the cartridge 15080 when
the anvil 15090 reaches its fully closed position. The carriage
15180 can be advanced distally until it reaches its distal-most
position and/or the anvil 15090 is in its fully closed position,
which is illustrated in FIG. 118. In various circumstances, the
carriage 15180 can contact and close an end-of-stroke sensor when
the carriage 15180 reaches its distal-most position. In certain
instances, the end-of-stroke sensor can be in signal communication
with a microprocessor of the surgical instrument 15010. When the
end-of-stroke sensor is closed by the carriage 15180, the
microprocessor can interrupt the power supplied to the closing
motor 15110 and stop the advancement of the carriage 15180.
As discussed above, the crossbar 15181 of the carriage 15180 can
cam the anvil 15090 toward the staple cartridge 15080 by pushing
the cam surface 15092 downwardly. The anvil 15090 can further
comprise a latch pin 15210 extending from the sides thereof which
can be received in slots 15215 defined in the sides of the
cartridge channel 15070 when the anvil 15090 is rotated toward the
staple cartridge 15080. In various instances, the latch pin 15210
can contact the closed ends of the slots 15215 when the anvil 15090
reaches its closed position, for example. In some instances, the
anvil 15090 may be in a closed position and the latch pin 15210 may
not be in contact with the closed ends of the slots 15215. In
certain instances, the closure system can comprise one or more
latches 15190 configured to engage the latch pin 15210 and/or move
the anvil 15090 closer to the staple cartridge 15080. The latches
15190 can be rotatably coupled to the cartridge channel 15070 by a
pivot pin 15191 and can be rotated about a pivot axis to engage the
latch pin 15210. In some instances, the latches 15190 can engage
the latch pin 15210 and position the latch pin 15210 against the
closed ends of the slots 15215. Each latch 15190 can comprise a
latch arm 15192 which can slide over the latch pin 15210 and push
the latch pin 15210 downwardly as the latch 15190 is rotated
distally into its closed position. Each latch arm 15192 can at
least partially define a latch slot 15193 which can be configured
to receive the latch pin 15210 as the latches 15190 are moved into
their actuated positions. The latch arms 15192 and the closed ends
of the slots 15215 can co-operate to trap and/or hold the latch pin
15210 in position.
Further to the above, the latches 15190 can be moved between an
unlatched position (FIG. 117) and a latched position (FIG. 118) by
the carriage 15180 when the carriage 15180 is advanced distally. To
the extent that the anvil 15090 is not moved into its fully closed
position by the crossbar 15181, the latches 15190 can move the
anvil 15090 into its fully closed position. In various instances,
the carriage 15180 can include distal cam surfaces 15182 defined
thereon which can engage the latches 15190 when the carriage 15180
is advanced distally. In at least one such instance, each cam
surface 15182 can comprise a sloped or angled surface, for example.
When the closure drive lead screw 15170 is rotated in its second
direction and the carriage 15180 is retracted proximally by the
closure drive lead screw 15170, the latches 15190 can be returned
to their unactuated positions. In various instances, the instrument
15010 can further comprise one or more biasing springs 15195, for
example, which can be configured to rotate the latches 15190
proximally when the distal cam surfaces 15182 are retracted away
from the latches 15190. Each latch 15190 can include an aperture
15194 defined therein configured to receive a first end of a spring
15195. A second end of each spring 15195 can be engaged with a
spring post 15079 extending from the cartridge channel 15070. When
the latches 15190 are rotated distally from their unlatched
positions to the their latched positions by the carriage 15180, as
discussed above, the springs 15195 can be resiliently stretched
such that, when the carriage 15180 is retracted, the springs 15195
can elastically return to their original condition thereby applying
a force to the latches 15090 via the apertures 15194, for example.
In any event, when the latches 15190 have been returned to their
unlatched positions, the anvil 15090 can be moved relative to the
staple cartridge 15080 once again.
As discussed above, the crossbar 15181 of the carriage 15180 can
contact the cam surface 15092 of the anvil 15090 to rotate the
anvil 15090 toward the staple cartridge 15080. The carriage 15180
can also be configured to rotate the anvil 15090 away from the
staple cartridge 15080. In at least one such instance, the anvil
15090 can comprise a second cam surface 15093 defined thereon which
can be contacted by the crossbar 15181 of the carriage 15080 as the
carriage 15080 is moved proximally by the closure drive lead screw
15170. As the reader will appreciate, the closing cam surface 15092
can be defined on a first side of the pivot pin 15200 and the
opening cam surface 15093 can be defined on a second, or opposite,
side of the pivot pin 15200. The opening cam surface 15093 can
extend at an angle with respect to the closing cam surface 15092.
In various instances, the crossbar 15181 can contact and slide
relative to the opening cam surface 15093 as the carriage 15180 is
retracted. The opening cam surface 15093 can be configured such
that the degree, or amount, in which the anvil 15090 is opened
relative to the staple cartridge 15080 is dependent upon the
distance in which the crossbar 15181 is retracted proximally. For
instance, if the crossbar 15181 is retracted a first distance
proximal to the pivot 15200, the crossbar 15181 can pivot the anvil
15090 upwardly away from the staple cartridge 15080 a first degree
and, if the crossbar 15181 is retracted a second distance proximal
to the pivot 14200 which is larger than the first distance, the
crossbar 15181 can pivot the anvil 15090 upwardly away from the
staple cartridge 15080 a second degree which is larger than the
first degree.
The closing system discussed above can permit the user of the
surgical instrument to pivot the anvil 15090 between an open and a
closed position without having to manipulate the anvil 15090 by
hand. The closing system discussed above can also latch or lock the
anvil 15090 in its closed position automatically without requiring
the use of a separate actuator. To the extent that the user is
unsatisfied with the positioning of the tissue between the anvil
15090 and the staple cartridge 15080 when the anvil 15090 is in its
closed position, the user can reopen the anvil 15090, reposition
the anvil 15090 and the staple cartridge 15080 relative to the
tissue, and then close the anvil 15090 once again. The user can
open and close the anvil 15090 as many times as needed prior to
actuating the firing system of the instrument 15010. The firing
system can comprise a firing motor 15120 mounted to the motor frame
15125, a firing drive gear train operably coupled to the firing
motor 15120 including a firing gear 15240, a firing lead screw gear
15250, and a firing drive lead screw 15260. Similar to the above,
the firing drive gear train and/or the firing drive lead screw
15260 can be rotatably supported by the motor frame 15125. The
firing drive can further comprise a firing trigger 15055 configured
to close a firing switch 15290 when the firing trigger 15055 is
depressed to operate the firing motor 15120. When the firing motor
15120 is operated in a first direction to rotate the firing drive
lead screw 15260 in a first direction, the firing drive can deploy
the staples removably stored in the staple cartridge 15080 and
incise the tissue captured between the anvil 15090 and the staple
cartridge 15080. When the firing motor 15120 is operated in a
second direction to rotate the firing drive lead screw 15260 in a
second, or opposite, direction, the firing drive can be retracted.
Thereafter, the anvil 15090 can be reopened to remove the tissue
from between the anvil 15090 and the staple cartridge 15080. In
some instances, the firing drive may not need to be retracted to
open the anvil 15090. In such instances, the firing drive may not
engage the anvil 15090 as it is advanced distally. In at least one
such instance, the firing drive can enter into the staple cartridge
15080 to eject the staples therefrom and a knife edge may travel
between the staple cartridge 15080 and the anvil 15090 to incise
the tissue. The firing drive may not lock the anvil 15090 in its
closed position, although embodiments are envisioned in which the
firing drive could lock the anvil 15090 in its closed position.
Such embodiments could utilize an I-beam, for example, which can
engage the anvil 15090 and the staple cartridge 15080 and hold them
in position relative to each other as the I-beam is advanced
distally.
The instrument 15010 can be powered by an external power source
and/or an internal power source. A cable can enter into the
actuator housing 15080 to supply power from an external power
source, for example. One or more batteries, such as battery 15400,
for example, can be positioned within the handle of the instrument
15010 to supply power from an internal power source, for example.
The instrument 15010 can further comprise one or more indicators,
such as LED indicator 15100, for example, which can indicate the
operating state of the instrument 15010, for example. The LED
indicator 15100 can operate the same manner as or a similar manner
to the LED indicator 11100 described above, for example. The LED
indicator 15100 can be in signal communication with the
microcontroller of the instrument 15010 which can be positioned on
a printed circuit board 15500, for example.
Previous surgical instruments have utilized a manually-driven
closure system configured to move an anvil between an open position
and a closed position. Various embodiments disclosed herein utilize
a motor-driven closure system configured to move an anvil between
an open position and a closed position relative to a fixed staple
cartridge. Other embodiments are envisioned in which an anvil can
be fixed and a motor-driven closure system could move a staple
cartridge between an open position and a closed position. In either
event, the motor of the closure system can set the tissue gap
between the anvil and the staple cartridge. In various instances,
the closure system of the surgical instrument is separate and
distinct from the firing system. In other instances, the closure
system and the firing system can be integral. When the closure
system and the firing system are separate and distinct, the user of
the surgical instrument can evaluate the position of the anvil and
the staple cartridge relative to the tissue that is to be stapled
and incised before operating the firing system.
As discussed above, an end effector of a surgical instrument, such
as end effector 1000, for example, can be configured to clamp
tissue between an anvil jaw 1040 and a staple cartridge 1060
thereof. When the anvil jaw 1040 is in its closed position, a
tissue gap can be defined between the anvil jaw 1040 and the staple
cartridge 1060. In certain instances, the end effector 1000 may be
suitable for use with thin tissue, thick tissue, and tissue having
a thickness intermediate the thin tissue and the thick tissue. The
thinnest tissue and the thickest tissue in which the end effector
1000 can be suitably used to staple can define a tissue thickness
range for the end effector 1000. In various instances, a surgical
instrument system can include a handle and a plurality of end
effectors which can be assembled to the handle, wherein one or more
of the end effectors can have different tissue thickness ranges.
For instance, a first end effector can have a first tissue
thickness range and a second end effector can have a second tissue
thickness range which is different than the first tissue thickness
range. In some instances, the first tissue thickness range and the
second tissue thickness range can be discrete while, in other
instances, the first tissue thickness range and the second tissue
thickness range can partially overlap. Surgical instrument systems
can utilize any suitable number of end effectors having different
tissue thickness ranges where some of the tissue thickness ranges
may at least partially overlap and other tissue thickness ranges
may not overlap at all.
In various instances, further to the above, a staple cartridge of
an end effector, such as staple cartridge 1060 of end effector
1000, for example, can be replaceable. In various instances, the
staple cartridge 1060 can be removably locked into position within
the lower jaw 1020 of the end effector 1000. Once locked into
position, the deck, or tissue contacting, surface of the staple
cartridge 1060 may not move, or at least substantially move,
relative to the lower jaw 1020. Thus, when the anvil jaw 1040 is
moved into its closed position, a fixed distance, or tissue gap,
can be defined between the anvil jaw 1040 and the deck surface of
the staple cartridge 1060. To change this fixed distance, the
staple cartridge 1060 can be removed from the lower jaw 1020 and a
different staple cartridge can be removably locked within the lower
jaw 1020. The deck surface of the different staple cartridge can be
configured to provide a different tissue gap than the tissue gap
provided by the staple cartridge 1060. Embodiments are envisioned
in which a surgical instrument system includes a handle, a
plurality of end effectors which can be assembled to the handle,
and a plurality of staple cartridges which can be replaceably
inserted into the end effectors. Such an embodiment can allow a
user to select an end effector capable of being used with a range
of tissue thicknesses and the staple cartridge selected for use
with the end effector can adjust or fine tune the range of tissue
thicknesses that can be stapled by the end effector. In certain
instances, a first staple cartridge of the surgical instrument
system can include a first type of staple and a second staple
cartridge can include a second type of staple. For example, the
first staple cartridge can include staples having a first unformed,
or unfired, height, and the second staple cartridge can include
staples having a second unformed, or unfired, height which is
different that the first height.
The entire disclosures of:
U.S. Pat. No. 5,403,312, entitled ELECTROSURGICAL HEMOSTATIC
DEVICE, which issued on Apr. 4, 1995;
U.S. Pat. No. 7,000,818, entitled SURGICAL STAPLING INSTRUMENT
HAVING SEPARATE DISTINCT CLOSING AND FIRING SYSTEMS, which issued
on Feb. 21, 2006;
U.S. Pat. No. 7,422,139, entitled MOTOR-DRIVEN SURGICAL CUTTING AND
FASTENING INSTRUMENT WITH TACTILE POSITION FEEDBACK, which issued
on Sep. 9, 2008;
U.S. Pat. No. 7,464,849, entitled ELECTRO-MECHANICAL SURGICAL
INSTRUMENT WITH CLOSURE SYSTEM AND ANVIL ALIGNMENT COMPONENTS,
which issued on Dec. 16, 2008;
U.S. Pat. No. 7,670,334, entitled SURGICAL INSTRUMENT HAVING AN
ARTICULATING END EFFECTOR, which issued on Mar. 2, 2010;
U.S. Pat. No. 7,753,245, entitled SURGICAL STAPLING INSTRUMENTS,
which issued on Jul. 13, 2010;
U.S. Pat. No. 8,393,514, entitled SELECTIVELY ORIENTABLE
IMPLANTABLE FASTENER CARTRIDGE, which issued on Mar. 12, 2013;
U.S. patent application Ser. No. 11/343,803, entitled SURGICAL
INSTRUMENT HAVING RECORDING CAPABILITIES, filed Jan. 31, 2006, now
U.S. Pat. No. 7,845,537;
U.S. patent application Ser. No. 12/031,573, entitled SURGICAL
CUTTING AND FASTENING INSTRUMENT HAVING RF ELECTRODES, filed Feb.
14, 2008;
U.S. patent application Ser. No. 12/031,873, entitled END EFFECTORS
FOR A SURGICAL CUTTING AND STAPLING INSTRUMENT, filed Feb. 15,
2008, now U.S. Pat. No. 7,980,443;
U.S. patent application Ser. No. 12/235,782, entitled MOTOR-DRIVEN
SURGICAL CUTTING INSTRUMENT, filed Sep. 23, 2008, now U.S. Pat. No.
8,210,411;
U.S. patent application Ser. No. 12/249,117, entitled POWERED
SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE
FIRING SYSTEM, filed Oct. 10, 2008, now U.S. Pat. No.
8,608,045;
U.S. patent application Ser. No. 12/647,100, entitled MOTOR-DRIVEN
SURGICAL CUTTING INSTRUMENT WITH ELECTRIC ACTUATOR DIRECTIONAL
CONTROL ASSEMBLY, filed Dec. 24, 2009, now U.S. Pat. No.
8,220,688;
U.S. patent application Ser. No. 12/893,461, entitled STAPLE
CARTRIDGE, filed Sep. 29, 2012, now U.S. Patent Application
Publication No. 2012/0074198;
U.S. patent application Ser. No. 13/036,647, entitled SURGICAL
STAPLING INSTRUMENT, filed Feb. 28, 2011, now U.S. Pat. No.
8,561,870;
U.S. patent application Ser. No. 13/118,241, entitled SURGICAL
STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS,
now U.S. Patent Application Publication No. 2012/0298719;
U.S. patent application Ser. No. 13/524,049, entitled ARTICULATABLE
SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE, filed on Jun. 15,
2012, now U.S. Patent Application Publication No. 2013/0334278;
U.S. patent application Ser. No. 13/800,025, entitled STAPLE
CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM, filed on Mar. 13,
2013;
U.S. patent application Ser. No. 13/800,067, entitled STAPLE
CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM, filed on Mar. 13,
2013;
U.S. Patent Application Publication No. 2007/0175955, entitled
SURGICAL CUTTING AND FASTENING INSTRUMENT WITH CLOSURE TRIGGER
LOCKING MECHANISM, filed Jan. 31, 2006; and
U.S. Patent Application Publication No. 2010/0264194, entitled
SURGICAL STAPLING INSTRUMENT WITH AN ARTICULATABLE END EFFECTOR,
filed Apr. 22, 2010, now U.S. Pat. No. 8,308,040, are hereby
incorporated by reference herein.
As described earlier, sensors may be configured to detect and
collect data associated with the surgical device. The processor
processes the sensor data received from the sensor(s).
The processor may be configured to execute operating logic. The
processor may be any one of a number of single or multi-core
processors known in the art. The storage may comprise volatile and
nonvolatile storage media configured to store persistent and
temporal (working) copy of the operating logic.
In various embodiments, the operating logic may be configured to
process the data associated with motion, as described above. In
various embodiments, the operating logic may be configured to
perform the initial processing, and transmit the data to the
computer hosting the application to determine and generate
instructions. For these embodiments, the operating logic may be
further configured to receive information from and provide feedback
to a hosting computer. In alternate embodiments, the operating
logic may be configured to assume a larger role in receiving
information and determining the feedback. In either case, whether
determined on its own or responsive to instructions from a hosting
computer, the operating logic may be further configured to control
and provide feedback to the user.
In various embodiments, the operating logic may be implemented in
instructions supported by the instruction set architecture (ISA) of
the processor, or in higher level languages and compiled into the
supported ISA. The operating logic may comprise one or more logic
units or modules. The operating logic may be implemented in an
object oriented manner. The operating logic may be configured to be
executed in a multi-tasking and/or multi-thread manner. In other
embodiments, the operating logic may be implemented in hardware
such as a gate array.
In various embodiments, the communication interface may be
configured to facilitate communication between a peripheral device
and the computing system. The communication may include
transmission of the collected biometric data associated with
position, posture, and/or movement data of the user's body part(s)
to a hosting computer, and transmission of data associated with the
tactile feedback from the host computer to the peripheral device.
In various embodiments, the communication interface may be a wired
or a wireless communication interface. An example of a wired
communication interface may include, but is not limited to, a
Universal Serial Bus (USB) interface. An example of a wireless
communication interface may include, but is not limited to, a
Bluetooth interface.
For various embodiments, the processor may be packaged together
with the operating logic. In various embodiments, the processor may
be packaged together with the operating logic to form a System in
Package (SiP). In various embodiments, the processor may be
integrated on the same die with the operating logic. In various
embodiments, the processor may be packaged together with the
operating logic to form a System on Chip (SoC).
Various embodiments may be described herein in the general context
of computer executable instructions, such as software, program
modules, and/or engines being executed by a processor. Generally,
software, program modules, and/or engines include any software
element arranged to perform particular operations or implement
particular abstract data types. Software, program modules, and/or
engines can include routines, programs, objects, components, data
structures and the like that perform particular tasks or implement
particular abstract data types. An implementation of the software,
program modules, and/or engines components and techniques may be
stored on and/or transmitted across some form of computer-readable
media. In this regard, computer-readable media can be any available
medium or media useable to store information and accessible by a
computing device. Some embodiments also may be practiced in
distributed computing environments where operations are performed
by one or more remote processing devices that are linked through a
communications network. In a distributed computing environment,
software, program modules, and/or engines may be located in both
local and remote computer storage media including memory storage
devices. A memory such as a random access memory (RAM) or other
dynamic storage device may be employed for storing information and
instructions to be executed by the processor. The memory also may
be used for storing temporary variables or other intermediate
information during execution of instructions to be executed by the
processor.
Although some embodiments may be illustrated and described as
comprising functional components, software, engines, and/or modules
performing various operations, it can be appreciated that such
components or modules may be implemented by one or more hardware
components, software components, and/or combination thereof. The
functional components, software, engines, and/or modules may be
implemented, for example, by logic (e.g., instructions, data,
and/or code) to be executed by a logic device (e.g., processor).
Such logic may be stored internally or externally to a logic device
on one or more types of computer-readable storage media. In other
embodiments, the functional components such as software, engines,
and/or modules may be implemented by hardware elements that may
include processors, microprocessors, circuits, circuit elements
(e.g., transistors, resistors, capacitors, inductors, and so
forth), integrated circuits, application specific integrated
circuits (ASIC), programmable logic devices (PLD), digital signal
processors (DSP), field programmable gate array (FPGA), logic
gates, registers, semiconductor device, chips, microchips, chip
sets, and so forth.
Examples of software, engines, and/or modules may include software
components, programs, applications, computer programs, application
programs, system programs, machine programs, operating system
software, middleware, firmware, software modules, routines,
subroutines, functions, methods, procedures, software interfaces,
application program interfaces (API), instruction sets, computing
code, computer code, code segments, computer code segments, words,
values, symbols, or any combination thereof. Determining whether an
embodiment is implemented using hardware elements and/or software
elements may vary in accordance with any number of factors, such as
desired computational rate, power levels, heat tolerances,
processing cycle budget, input data rates, output data rates,
memory resources, data bus speeds and other design or performance
constraints.
One or more of the modules described herein may comprise one or
more embedded applications implemented as firmware, software,
hardware, or any combination thereof. One or more of the modules
described herein may comprise various executable modules such as
software, programs, data, drivers, application program interfaces
(APIs), and so forth. The firmware may be stored in a memory of the
controller 2016 and/or the controller 2022 which may comprise a
nonvolatile memory (NVM), such as in bit-masked read-only memory
(ROM) or flash memory. In various implementations, storing the
firmware in ROM may preserve flash memory. The nonvolatile memory
(NVM) may comprise other types of memory including, for example,
programmable ROM (PROM), erasable programmable ROM (EPROM),
electrically erasable programmable ROM (EEPROM), or battery backed
random-access memory (RAM) such as dynamic RAM (DRAM),
Double-Data-Rate DRAM (DDRAM), and/or synchronous DRAM (SDRAM).
In some cases, various embodiments may be implemented as an article
of manufacture. The article of manufacture may include a computer
readable storage medium arranged to store logic, instructions
and/or data for performing various operations of one or more
embodiments. In various embodiments, for example, the article of
manufacture may comprise a magnetic disk, optical disk, flash
memory or firmware containing computer program instructions
suitable for execution by a general purpose processor or
application specific processor. The embodiments, however, are not
limited in this context.
The functions of the various functional elements, logical blocks,
modules, and circuits elements described in connection with the
embodiments disclosed herein may be implemented in the general
context of computer executable instructions, such as software,
control modules, logic, and/or logic modules executed by the
processing unit. Generally, software, control modules, logic,
and/or logic modules comprise any software element arranged to
perform particular operations. Software, control modules, logic,
and/or logic modules can comprise routines, programs, objects,
components, data structures and the like that perform particular
tasks or implement particular abstract data types. An
implementation of the software, control modules, logic, and/or
logic modules and techniques may be stored on and/or transmitted
across some form of computer-readable media. In this regard,
computer-readable media can be any available medium or media
useable to store information and accessible by a computing device.
Some embodiments also may be practiced in distributed computing
environments where operations are performed by one or more remote
processing devices that are linked through a communications
network. In a distributed computing environment, software, control
modules, logic, and/or logic modules may be located in both local
and remote computer storage media including memory storage
devices.
Additionally, it is to be appreciated that the embodiments
described herein illustrate example implementations, and that the
functional elements, logical blocks, modules, and circuits elements
may be implemented in various other ways which are consistent with
the described embodiments. Furthermore, the operations performed by
such functional elements, logical blocks, modules, and circuits
elements may be combined and/or separated for a given
implementation and may be performed by a greater number or fewer
number of components or modules. As will be apparent to those of
skill in the art upon reading the present disclosure, each of the
individual embodiments described and illustrated herein has
discrete components and features which may be readily separated
from or combined with the features of any of the other several
aspects without departing from the scope of the present disclosure.
Any recited method can be carried out in the order of events
recited or in any other order which is logically possible.
It is worthy to note that any reference to "one embodiment" or "an
embodiment" means that a particular feature, structure, or
characteristic described in connection with the embodiment is
comprised in at least one embodiment. The appearances of the phrase
"in one embodiment" or "in one aspect" in the specification are not
necessarily all referring to the same embodiment.
Unless specifically stated otherwise, it may be appreciated that
terms such as "processing," "computing," "calculating,"
"determining," or the like, refer to the action and/or processes of
a computer or computing system, or similar electronic computing
device, such as a general purpose processor, a DSP, ASIC, FPGA or
other programmable logic device, discrete gate or transistor logic,
discrete hardware components, or any combination thereof designed
to perform the functions described herein that manipulates and/or
transforms data represented as physical quantities (e.g.,
electronic) within registers and/or memories into other data
similarly represented as physical quantities within the memories,
registers or other such information storage, transmission or
display devices.
It is worthy to note that some embodiments may be described using
the expression "coupled" and "connected" along with their
derivatives. These terms are not intended as synonyms for each
other. For example, some embodiments may be described using the
terms "connected" and/or "coupled" to indicate that two or more
elements are in direct physical or electrical contact with each
other. The term "coupled," however, also may mean that two or more
elements are not in direct contact with each other, but yet still
co-operate or interact with each other. With respect to software
elements, for example, the term "coupled" may refer to interfaces,
message interfaces, application program interface (API), exchanging
messages, and so forth.
It should be appreciated that any patent, publication, or other
disclosure material, in whole or in part, that is said to be
incorporated by reference herein is incorporated herein only to the
extent that the incorporated material does not conflict with
existing definitions, statements, or other disclosure material set
forth in this disclosure. As such, and to the extent necessary, the
disclosure as explicitly set forth herein supersedes any
conflicting material incorporated herein by reference. Any
material, or portion thereof, that is said to be incorporated by
reference herein, but which conflicts with existing definitions,
statements, or other disclosure material set forth herein will only
be incorporated to the extent that no conflict arises between that
incorporated material and the existing disclosure material.
The disclosed embodiments have application in conventional
endoscopic and open surgical instrumentation as well as application
in robotic-assisted surgery.
Embodiments of the devices disclosed herein can be designed to be
disposed of after a single use, or they can be designed to be used
multiple times. Embodiments may, in either or both cases, be
reconditioned for reuse after at least one use. Reconditioning may
include any combination of the steps of disassembly of the device,
followed by cleaning or replacement of particular pieces, and
subsequent reassembly. In particular, embodiments of the device may
be disassembled, and any number of the particular pieces or parts
of the device may be selectively replaced or removed in any
combination. Upon cleaning and/or replacement of particular parts,
embodiments of the device may be reassembled for subsequent use
either at a reconditioning facility, or by a surgical team
immediately prior to a surgical procedure. Those skilled in the art
will appreciate that reconditioning of a device may utilize a
variety of techniques for disassembly, cleaning/replacement, and
reassembly. Use of such techniques, and the resulting reconditioned
device, are all within the scope of the present application.
By way of example only, embodiments described herein may be
processed before surgery. First, a new or used instrument may be
obtained and when necessary cleaned. The instrument may then be
sterilized. In one sterilization technique, the instrument is
placed in a closed and sealed container, such as a plastic or TYVEK
bag. The container and instrument may then be placed in a field of
radiation that can penetrate the container, such as gamma
radiation, x-rays, or high-energy electrons. The radiation may kill
bacteria on the instrument and in the container. The sterilized
instrument may then be stored in the sterile container. The sealed
container may keep the instrument sterile until it is opened in a
medical facility. A device may also be sterilized using any other
technique known in the art, including but not limited to beta or
gamma radiation, ethylene oxide, or steam.
One skilled in the art will recognize that the herein described
components (e.g., operations), devices, objects, and the discussion
accompanying them are used as examples for the sake of conceptual
clarity and that various configuration modifications are
contemplated. Consequently, as used herein, the specific exemplars
set forth and the accompanying discussion are intended to be
representative of their more general classes. In general, use of
any specific exemplar is intended to be representative of its
class, and the non-inclusion of specific components (e.g.,
operations), devices, and objects should not be taken limiting.
With respect to the use of substantially any plural and/or singular
terms herein, those having skill in the art can translate from the
plural to the singular and/or from the singular to the plural as is
appropriate to the context and/or application. The various
singular/plural permutations are not expressly set forth herein for
sake of clarity.
The herein described subject matter sometimes illustrates different
components contained within, or connected with, different other
components. It is to be understood that such depicted architectures
are merely examples and that in fact many other architectures may
be implemented which achieve the same functionality. In a
conceptual sense, any arrangement of components to achieve the same
functionality is effectively "associated" such that the desired
functionality is achieved. Hence, any two components herein
combined to achieve a particular functionality can be seen as
"associated with" each other such that the desired functionality is
achieved, irrespective of architectures or intermedial components.
Likewise, any two components so associated can also be viewed as
being "operably connected," or "operably coupled," to each other to
achieve the desired functionality, and any two components capable
of being so associated can also be viewed as being "operably
couplable," to each other to achieve the desired functionality.
Specific examples of operably couplable include but are not limited
to physically mateable and/or physically interacting components,
and/or wirelessly interactable, and/or wirelessly interacting
components, and/or logically interacting, and/or logically
interactable components.
Some aspects may be described using the expression "coupled" and
"connected" along with their derivatives. It should be understood
that these terms are not intended as synonyms for each other. For
example, some aspects may be described using the term "connected"
to indicate that two or more elements are in direct physical or
electrical contact with each other. In another example, some
aspects may be described using the term "coupled" to indicate that
two or more elements are in direct physical or electrical contact.
The term "coupled," however, also may mean that two or more
elements are not in direct contact with each other, but yet still
co-operate or interact with each other.
In some instances, one or more components may be referred to herein
as "configured to," "configurable to," "operable/operative to,"
"adapted/adaptable," "able to," "conformable/conformed to," etc.
Those skilled in the art will recognize that "configured to" can
generally encompass active-state components and/or inactive-state
components and/or standby-state components, unless context requires
otherwise.
While particular aspects of the present subject matter described
herein have been shown and described, it will be apparent to those
skilled in the art that, based upon the teachings herein, changes
and modifications may be made without departing from the subject
matter described herein and its broader aspects and, therefore, the
appended claims are to encompass within their scope all such
changes and modifications as are within the true scope of the
subject matter described herein. It will be understood by those
within the art that, in general, terms used herein, and especially
in the appended claims (e.g., bodies of the appended claims) are
generally intended as "open" terms (e.g., the term "including"
should be interpreted as "including but not limited to," the term
"having" should be interpreted as "having at least," the term
"includes" should be interpreted as "includes but is not limited
to," etc.). It will be further understood by those within the art
that when a specific number of an introduced claim recitation is
intended, such an intent will be explicitly recited in the claim,
and in the absence of such recitation no such intent is present.
For example, as an aid to understanding, the following appended
claims may contain usage of the introductory phrases "at least one"
and "one or more" to introduce claim recitations. However, the use
of such phrases should not be construed to imply that the
introduction of a claim recitation by the indefinite articles "a"
or "an" limits any particular claim containing such introduced
claim recitation to claims containing only one such recitation,
even when the same claim includes the introductory phrases "one or
more" or "at least one" and indefinite articles such as "a" or "an"
(e.g., "a" and/or "an" should typically be interpreted to mean "at
least one" or "one or more"); the same holds true for the use of
definite articles used to introduce claim recitations.
In addition, even when a specific number of an introduced claim
recitation is explicitly recited, those skilled in the art will
recognize that such recitation should typically be interpreted to
mean at least the recited number (e.g., the bare recitation of "two
recitations," without other modifiers, typically means at least two
recitations, or two or more recitations). Furthermore, in those
instances where a convention analogous to "at least one of A, B,
and C, etc." is used, in general such a construction is intended in
the sense one having skill in the art would understand the
convention (e.g., "a system having at least one of A, B, and C"
would include but not be limited to systems that have A alone, B
alone, C alone, A and B together, A and C together, B and C
together, and/or A, B, and C together, etc.). In those instances
where a convention analogous to "at least one of A, B, or C, etc."
is used, in general such a construction is intended in the sense
one having skill in the art would understand the convention (e.g.,
"a system having at least one of A, B, or C" would include but not
be limited to systems that have A alone, B alone, C alone, A and B
together, A and C together, B and C together, and/or A, B, and C
together, etc.). It will be further understood by those within the
art that typically a disjunctive word and/or phrase presenting two
or more alternative terms, whether in the description, claims, or
drawings, should be understood to contemplate the possibilities of
including one of the terms, either of the terms, or both terms
unless context dictates otherwise. For example, the phrase "A or B"
will be typically understood to include the possibilities of "A" or
"B" or "A and B."
With respect to the appended claims, those skilled in the art will
appreciate that recited operations therein may generally be
performed in any order. Also, although various operational flows
are presented in a sequence(s), it should be understood that the
various operations may be performed in other orders than those
which are illustrated, or may be performed concurrently. Examples
of such alternate orderings may include overlapping, interleaved,
interrupted, reordered, incremental, preparatory, supplemental,
simultaneous, reverse, or other variant orderings, unless context
dictates otherwise. Furthermore, terms like "responsive to,"
"related to," or other past-tense adjectives are generally not
intended to exclude such variants, unless context dictates
otherwise.
In summary, numerous benefits have been described which result from
employing the concepts described herein. The foregoing description
of the one or more embodiments has been presented for purposes of
illustration and description. It is not intended to be exhaustive
or limiting to the precise form disclosed. Modifications or
variations are possible in light of the above teachings. The one or
more embodiments were chosen and described in order to illustrate
principles and practical application to thereby enable one of
ordinary skill in the art to utilize the various embodiments and
with various modifications as are suited to the particular use
contemplated. It is intended that the claims submitted herewith
define the overall scope.
* * * * *
References